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Re: Need info on TPN

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> I need some information on TPN. I need to know how long you

on it and how many hours a day are you receiving the TPN. Also

what can you do when you on it. And can you drink anything while

on it. I want to ask my doctor about it, but I need more info about

it first. I just got out of the hospital last Wednesday, after being in

there for 6 days with a bad flare up of pancreatitis. I could eat

anything of drink anything until Wednesday when I finally got to

come home. It was a short lived relief from the horrible pain I

was having and now it's back so soon.

> Louie in WV

Louie,

I wish I could answer your questions about TPN, but since I

haven't personally ever had to go that route (YET)....I can't. But I

did want to tell you how sorry I was to hear that you'd been in the

hospital and are still feeling so poorly. That weight loss sounds

alarming, too! Don't let yourself get like me....it's no fun and

impossible to gain back.

Hopefully someone else will have a lot of good info for you. Just

take care of yourself, and I hope you're feeling better soon.

With hope and prayers,

Heidi

Heidi H. Griffeth

Bluffton, SC

State and Regional Representative

Pancreatitis Association, International

Note: All comments are personal opinion only, and should not

be a substitute for professional medical consultation.

>

>

>

>

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Louie:

Sometimes you have to stay on it several weeks. As far as length of

time in a day, that is up to your doctor. Most folks get the same

amount but it runs over different periods of time varying from 8-16

hours. Just depends. Its kind of an experiment because if they

have you off of all food, you have to watch your blood sugars. I

have been on it in the day and I have been on it in the night. In

my own case, while on it I felt much better and had energy but if I

ran it at night and had nothing going in during the day and was

doing alot, my blood sugar would drop and I would feel bad so I let

them hook me back up in the day. I did most everything you normally

do, certainly I did more with it than without it. I remember

cooking Thanksgiving dinner, hooked up to this pump, on an IV pole

with wheels in the kitchen. I felt great, it was a riot. That may

sound awful to some of you but I say that so you will know you get

energy from it. Also, my skin cleared up, my hair grew back in. I

have very thick black hair and it had started coming out. It grew

back in twice as thick and I could hardly get a comb through it.

They give you a back back that looks like a kids school back pack

and you can go anywhere.

I assume you have a PICC line? If not, they put one it so you can

use it. I think asking your doc for TPN is a wonderful idea. I got

to the point back then that if I felt bad or started having my hair

fall out, I would call him on the phone and he would order it right

away. I had to do several rounds of it over 3-4 years and havent'

had it since about 1999.

Also, the doc will tell you whether you can have clear liquids or

anything. Sometimes they put you on nothing by mouth and then

advance to clear liquids. At one point, my doc said I could have

boullion and I use to make my own vegetable bouillon. Just boil the

veggies with salt and seasonings and strain it. Believe me it was

good when you haven't eaten.

I think TPN would be a good thing!

Take care

Kaye

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> What is TPN?

>

> Anita

Anita,

TPN means Total Parenternal Nutrition. In other words, total

sustenance given by an IV in the hospital, or a j-tube with a picc

line while at home. " Food in a Bag " ! Some patients that are

severely undernourished or that have problems with food

ingestion are put on this.

With hope and prayers,

Heidi

Heidi H. Griffeth

Bluffton, SC

State and Regional Representative

Pancreatitis Association, International

Note: All comments are personal opinion only, and should not

be a substitute for professional medical consultation.

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Louie,

I am sorry that you were in the hospital. I can imagine that he would be

worried with that amount of weight loss. My experience with TPN was both good

and

bad. The bad part was that I had three serious infections. With a line

straight from your heart it is easy to get an infection, especially when you are

at

he will of nurses that you don't exactly know how well they do technique. I

was not able to maintain a PICC line and had to have a subclavian, which is more

risky.

But, the good, was that when I went on TPN I was so nauseated I could not

stand it. Having complete gastric rest was wonderful. It stopped all nausea. The

nutrition gave me so much energy. I felt great. I went on three out of town

trips with my TPN. I ran mine 12 hours at night. I was still hooked up to tubes,

though, as I had IV morphine 24/7.

If I ever get so sick and nauseated again, I won't hesitate to have it again.

Karyn E. , RN

Exec. Director, PAI

Indianapolis, IN

The PAI serves as a means of support, information, and advocacy. The PAI

cannot offer medical advice or direction nor substitute for your health care

provider.

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