Parenteral Nutrition For People Who Can't Eat

[yerrag]

My mother, aged 92, wasn't eating much for a week, and was also constipated that long as well.

She was admitted to the hospital and given dextrose IV. The doctor gave her a food that can be administered intravenously, called Kabiven Peripheral. I was wary of it, but couldn't argue against its use, and so for 3 days my mom was taking in the product as food.

She started to have chills and fever on the third day, and doctors gave her antibiotics. But I looked at the contraindications or side-effects of the Kabiven product, and sure enough chills and fever were listed as two of its side-effects.

This product was given FDA approval on 2014, so it is a very new product. The ingredient list included soya oil, dextrose anhydrous, and a smattering of amino acids. I was sure the soya oil was bad, but I kept my fingers crossed.

Now, after being discharged from the hospital without full resolution of her health, my mom is struggling more. She isn't eating as much still, and is now also refusing liquids and pills. This is troubling, as I couldn't even give supplements to counter the harsh effects of taking Kabiven as well as the harsh antibiotics given during her stay. I couldn't give her probiotics to restore her gut flora for boosting her immunity, and couldn't even give her d-mannose to help manage her chronic UTI (arising from her need to use diapers to deal with her incontinence).

She came back home from the hospital in worse shape than she went in. I believe the soya oil injected directly into her bloodstream blocked her assimilation of blood sugar, and this produced an insulin reaction that lowered her blood sugar, and this caused her to have chills. The fever was a result of the lower immunity caused by low blood sugar, as well as from the inflammatory effects of the soya oil.

Given her condition as I had described, I hope to get some guidance on how to help my mom recover. She has not lost her ability to chew and to eat. She just needs to get her mood and appetite back.

I've made sure we are PUFA-free at home and my mom doesn't eat any food at home that has PUFA. Except for occasional cakes and pastries and eating out at restaurants, which isn't that often, her body is accustomed to not having soya oil and its ilk.

I don't plan on bringing back my mom to the hospital. I'm trying to set up an arrangement with a doctor who can set her up on dextrose IV at home. It's scary what meds the hospital doctors put patients up to. They never tell you the side-effects, and when the side effects occur, they pretend it's something else. You learn later on from another specialist about the side effect. But the prescribing doctor never admits that his prescribed med has a side effect. That how the wheel turns at our hospitals. It's the "system."

I can't imagine the choice of soya oil as "food" to be directly injected into our blood. Doesn't the oil get processed by bile and then get converted into chylomicrons and then goes into our lympathic system before it gets into our blood stream? So how in the hell could oil be directly injected into our blood without going through the lympathic system, and still not cause harm?

 

[Orion]

On the Kabiven page:
"Monitoring patients for signs and symptoms of essential fatty acid deficiency (EFAD) is recommended. Laboratory tests are available to determine serum fatty acids levels. Reference values should be consulted to help determine adequacy of essential fatty acid status. Increasing essential fatty acid intake (enterally or parenterally) is effective in treating and preventing EFAD."

"
How Supplied
2,566mL
2,053 mL
1,540 mL
1,026 mL
Composition of Kabiven®
Soybean Oil, USP (g/100 mL) 3.9
"

So that has from 26grams to 66grams of pure Soy Oil, yes no wonder your Mom got even worse

2 quarts sweetened skim milk (honey or white sugar, and you could add 1-2 teaspoons for instant coffee or cocoa for flavour) and 1 quart orange juice or clear apple juice would be a good start, sip all day long. For the milk, 1/2 cup to 1 cup sugar or honey would provide extra ~250 to 500 calories and keep the stress hormones low. Milk will be a good calcium to phosphate ratio. OJ would be good for magnesium and potassium.

Few teaspoons of coconut oil, low fat farmers cheese/cottage cheese, apple sauce, well cooked potato with butter/salt.

Small pieces of liver few, or few oysters once a week.

 

[yerrag]

On the Kabiven page:
"Monitoring patients for signs and symptoms of essential fatty acid deficiency (EFAD) is recommended. Laboratory tests are available to determine serum fatty acids levels. Reference values should be consulted to help determine adequacy of essential fatty acid status. Increasing essential fatty acid intake (enterally or parenterally) is effective in treating and preventing EFAD."

"
How Supplied
2,566mL
2,053 mL
1,540 mL
1,026 mL
Composition of Kabiven®
Soybean Oil, USP (g/100 mL) 3.9
"

So that has from 26grams to 66grams of pure Soy Oil, yes no wonder your Mom got even worse

2 quarts sweetened skim milk (honey or white sugar, and you could add 1-2 teaspoons for instant coffee or cocoa for flavour) and 1 quart orange juice or clear apple juice would be a good start, sip all day long. For the milk, 1/2 cup to 1 cup sugar or honey would provide extra ~250 to 500 calories and keep the stress hormones low. Milk will be a good calcium to phosphate ratio. OJ would be good for magnesium and potassium.

Few teaspoons of coconut oil, low fat farmers cheese/cottage cheese, apple sauce, well cooked potato with butter/salt.

Small pieces of liver few, or few oysters once a week.

Yes, the soya oil was too much poison going into my mom's system, she got chills and fevers.

To add insult to injury, the doctor gave my mom a fluoroquinolone class antibiotic called Levifloxocin, for suspected pneumonia (from the chills and fever the Kabiven induced), and this caused neuropathy on my mom, and she now struggles to eat.

I'm getting a neurologist to examine her to get remedial treatment for the side effect from the antibiotic.

Thanks for the food advice. It will come in handy later.

This is just one of many instances of driving patients to death by modern hospitalization.

 

[yerrag]

Doctor even prescribed Omeprazole, aka Prilosec, which are proton pump inhibitors.

I have yet to ask why, as I just learned it was being used on her.

She doesn't have GERD or acid reflux. She just isn't eating much.

Is it supposed to protect her from the stomach acid?

Damn.

 

[Regina]

Doctor even prescribed Omeprazole, aka Prilosec, which are proton pump inhibitors.

I have yet to ask why, as I just learned it was being used on her.

She doesn't have GERD or acid reflux. She just isn't eating much.

Is it supposed to protect her from the stomach acid?

Damn.

Aaarrrggghhh. It's so awful. Be vigilant about everything administered to her. No ferrous sulfate.
My 91 yr old (relatively healthy) Mom went in with a broken humerus and immediately started having a host of other complications. I learned she was being administered acid blockers, cipro ABX, ferrous sulfate, ensure ("protein drink" made of canola oil and a crapton of other garbage), no sodium, water restriction, diuretic, blood pressure meds, tylenol, and more. 3x daily. The only way to get them to stop the ferrous sulfate was to declare that she has hemochromatosis.

 

[yerrag]

I'm glad your mom has you to keep her from being intoxicated by all those drugs. It seems every thing they do is made to slowly make the patient sick. They use pure oxygen for shortness of breathing instead of carbogen. One time, she was having shortness of breath while on oxygen, and couldn't be fed as she was so drained. I pulled out the oxygen, put a paper bag over her nose and mouth, and 10 minutes later her eyes opened, her breathing improved, and she started to be fed.

I spent the whole morning trying to get the admitting doctor to reply to my text messages, and I had to express my anger to her and threaten to complain to the hospital board, and things got going. I'm now able to get the signoff from the admitting physician to allow a neurologist to examine my mom this afternoon. Otherwise, they would just take their own sweet time.

The hospital seems like an assembly line meant to produce tons of defective products, except that defects are not discovered, and there are no returns. And this factory just keeps expanding as there is more and more demand of its defective products. And the funny thing is, the more defects produced, the more demand builds up. Just hope Trump doesn't use this model to make America great again!

 

[Regina]

I'm glad your mom has you to keep her from being intoxicated by all those drugs. It seems every thing they do is made to slowly make the patient sick. They use pure oxygen for shortness of breathing instead of carbogen. One time, she was having shortness of breath while on oxygen, and couldn't be fed as she was so drained. I pulled out the oxygen, put a paper bag over her nose and mouth, and 10 minutes later her eyes opened, her breathing improved, and she started to be fed.

I spent the whole morning trying to get the admitting doctor to reply to my text messages, and I had to express my anger to her and threaten to complain to the hospital board, and things got going. I'm now able to get the signoff from the admitting physician to allow a neurologist to examine my mom this afternoon. Otherwise, they would just take their own sweet time.

The hospital seems like an assembly line meant to produce tons of defective products, except that defects are not discovered, and there are no returns. And this factory just keeps expanding as there is more and more demand of its defective products. And the funny thing is, the more defects produced, the more demand builds up. Just hope Trump doesn't use this model to make America great again!

"The hospital seems like an assembly line meant to produce tons of defective products, except that defects are not discovered, and there are no returns."
Yep. You get it.
One size fits all and if you don't like it than you are crazy.

 

[SQu]

The hospital seems like an assembly line meant to produce tons of defective products, except that defects are not discovered, and there are no returns. And this factory just keeps expanding as there is more and more demand of its defective products. And the funny thing is, the more defects produced, the more demand builds up.

Well put. How is your mom doing? I've found going back to basics the most useful thing with sick old parents. This means many small meals. Palatability more important than anything else. Dense calories. Familiar favourites. My 88 year old dad in the past year got prostate cancer and a pacemaker and lost so much weight on dutasteride that he got dizzy spells perhaps due to less glycogen stores because of muscle loss. I got him eating something every three hours and at bedtime and on wake up. He's currently eating something about 8 times a day. He has regained strength and the 10% body weight he lost on dutasteride. Regaining strength also keeps them away from hospitals. I am more and more confirmed that undernourishment plays a huge but silent role in 'defective hospital products' especially the weak and elderly.