Violated NPO order over holidays

kelleykeith
on 12/30/07 12:39 pm - New York, NY
Due to a tiny pouch leak, I was put on I/V TPN on 12/19 through a PICC Line w/ an order not to eat or drink anything by mouth until mid-January.  The idea was that the leak would heal itself.  Over the holidays, I have been drinking some water and Diet Snapple and occasionally eating miso soup and Dannon Smoothies because I get so very thirsty.  I'm sure my pouch has not been able to heal because of this and I feel awful about it.  I am going back on the wagon tomorrow.  Has anyone had experience with leaks healing on their own while on TPN?  How long did it take?  Can't I restart tomorrow and give it a few weeks to heal?  The leak was so small it was barely detectable on the CT Scan and the Upper GI.  Does that even matter? 
Debra Welker
on 12/30/07 8:39 pm - Kaukauna, WI
So let me get this straight, are you walking around with a I/V hooked up to you? I find it hard to believe that they would instruct you to not drink anything for that amount of time, wouldnt you get dehydrated?
kelleykeith
on 1/1/08 6:48 am - New York, NY
Yes, I have a PICC line which is in my left upper arm and it has two ports.  I use one 300ML bag of nutrients (TPN) daily which is absorbed intravenously.  When I'm not infusing, I tape up the ports and lines because they dangle.  Ideally, I'm supposed to get all my nutrients and liquids from the TPN but I still get thirsty.  Fun, fun, fun..............
kelleykeith
on 1/1/08 8:05 am - New York, NY
Make that 3000MLs which takes 12 hours to infuse into me.
Sandra T. RN
on 12/31/07 7:20 am - TX

IF you have a leak and you are eating and/or drinking whatever you are eating/drinking CAN LEAK out into your abdomen.  This IS NOT a good thing.  Not trying to sound mean but this COULD be very serious.

Restart NOW then call your doctor and let them know what happened.

I'm sorry you are having to deal with this, but deal with it you must.

Hope everything works out  {{{{HUGS}}}} 

Sandra  High 250, low 160, current 190 down from 208 January 2014

kelleykeith
on 1/1/08 6:53 am - New York, NY
Thanks, Sandra.  You're right.  I do have to deal with it and I've started to do that.  I hope it's not too  late.  I expect I'll  have to spend the entire month of January on the TPN.  Fortunately, it's a tiny leak so hopefully a month will be enough time for it to heal. Happy New Year!
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