Analgèsia Intramuscular

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Per aquesta secció del Menys és Més, en què volem evitar les pràctiques que no aporten valor o poden ser lesives pel pacient, parlem d’una recomanació de l’Essencial que ens planteja no fer servir analgèsia parenteral com a primera opció. Aquesta via d’administració no és pas millor que la via oral, especialment de solucions aquoses, i exposa als pacients als riscos derivats de la via parenteral. Aquesta recomanació també és una de les 15 recomanacions de No Hacer de la SEMFYC

Transcripció de l’àudio

#Analgèsia #Farmacologia #Intramuscular #MenysÉsMés #Parenteral

This morning, I got a new #midline. I avoided to have a peripheric catheter that usually stuck within a day. Happy point.

Worst part : they decided to go trough #enteral #feeding. Even with the failure of yesterday.
The test finished with me puking 3h after the begging of the #nutrition (which was supposed to stay 24h).

Right after that, I wheeled to the doc office. 15 minutes later, they were saying that : "okay, we will remove the feeding probe". And get you into #parenteral feeding.

They asked for a biggest #hospital a slot to setup a #picc line. Then, 1 day to test it.
After that, I should be able to go #home ✨

Let's say : Tuesday?

After that, I have a some surgery to plan. That will not be fun.

My #hospitalization is keeping awfull.
Instead going to #parenteral feeding, they decided to force and go through the #enteral feeding probe.

Conclusion : I was sick during the whole yesterday. #diarhea, #shudder, abdominal #pain.

They told me that they won't go to parenteral. And if #enteral feeding doesn't work, then they will release me without any solution.

I promise I tried my best yesterday. But I do not want to be #sick today again like that.
I'll ask the #doctor to stop. I do not care yet if I have to leave with nothing.
I will not be able to use this solution daily based. Like : Never.

That will be a hard talk for sure. I'll argue I was a good patient, tried 5 times, got #sick / #puke 5 times. They will tell me to do one last test with nutrition. And I'll camp on my position and say no. I prefer leaving with no solution than with one who makes me sick. They will tell me they don't have anything else to propose. And I will say : "ok, but what you propose makes me sick". So I won't go again one last time on it.
If you can't propose something here, then ask for my transfer to beaujon (another #hospital).

I'm #mad and #sad about this situation. I went to LM (this hospital) because I wanna a feeding probe. And now, this situation is terrifying me and making me puke.

#disease #gastroparesia #heds

I'm currently under a panic attack due to my naso-deudenale feeding probe.
As it never helped me and just made me #sick a part of me just want to remove it.

It's highly irrational, as it doing it would only lead me to close doors. Like #parenteral nutrition.

I have to keep this probe "for fun" more few days.
I miss my #benzo a half bromazepam would have helped me.

#nutrition #enteral #Medical #heds

Today, the doctor decided to go through #enteral feeding via the probe. Even if all three water previous tests failed.
Of course, I let you guess what happened. I puked after 13mL of enteral solution.

The doc told me they will review the case during their tomorrow briefing. There are few possiblities :
1 - replacement of the current probe by one setup more deeper (jejunal).
2 - keeping my current #parenteral feeding line.

Both are good solutions. I think I prefer having a parenteral one as I will avoid me having #diarrhea

Let's wait tomorrow then. But what is sure is that I'll not get out tomorrow as they planned.

#heds #gastroparesia #medical