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Information on zofran pump and on reglan.

PostPosted: Aug 18, 2004 1:26 pm
by BlueEeyore
1. I just found out that I can attach the zofran pump to my PICC line instead of going the painful subQ route. Woohoo!

Does anyone here know if zofran can be added to TPN? Otherwise, I don't know how I'm going to be hooked up to the pump and the TPN at the same time. I only have a single port.

2. When I was on reglan, I was very depressed. Every medical professional I've talked to about it say that they have never heard of depression being a side effect. HOWEVER, Matria (a company that specializes in caring for women with high risk pregnancy) just told me that YES! reglan is KNOWN to cause depression AND they routinely avoid giving it to women who have had a history of clinical depression. So, if you're on reglan and feeling way out of sorts (especially if you have any history of depression), you might want to consider this.

PostPosted: Aug 18, 2004 5:12 pm
by RebeccaM
Side note on the Reglan causing depression:

Phenergan made me very depressed (and I've never had a history of depression) so I stopped taking it after only a few days. I think it's definitely something to look out for with both drugs.

PostPosted: Aug 18, 2004 6:29 pm
by aaronsmommy
Nope, you really can't mix zofran with much, so you really need to have a double lumen picc line to run the pump that way.
You can run the 2 together if you don't have the lipids, but if you're not eating then you really need those too.
You can get the line change to a double lumen one, they can change the line in the same place, but it still hurts to do that so you probably just want to keep the one you have unless it gives you problems

PostPosted: Aug 18, 2004 6:36 pm
by BlueEeyore
Perhaps I can do the pump for the 12 hours that I'm not on TPN and an IV push for the 12 hours I am on TPN.

PostPosted: Aug 19, 2004 11:02 am
by danimomof2girls
I would definitely check with your healthcare provider or home health nurse because I think that you need to go in a seperate line for zofran. Also, Zofran can be harsh and I would even dare say irritating to your veins. I think that is why I had it sub-q into my thigh muscles. They made me so sore that I can only imagine what it would have felt like going into my Hickman Catheter. I hope there is an alternative to make you more comfortable! Wishing you luck!

PostPosted: Aug 19, 2004 11:08 pm
by aaronsmommy
Don't worry, nothing ever hurts going throught the picc line. Because the tip is in such big blood vessels, the meds get mixed quickly in to the blood and won't hurt.

The most irritating drug I got while pg was iron. One dose in a peripheral IV in my best vein and the whole vein all the way up my arm was infiltrated and inflammed. We moved everything around so it could go in the picc line the next time and I didn't feel a thing. Tasted bad though.

Anyone planning on using their picc line for TPN should ask for a double lumen one so they can run a couple of things at the same time.

You can always experiment with different ways of dosing the Zofran IV, why not? When you give a single dose you will just have to flush the line before and after. I never really noticed a difference in nausea if I took 4 8mg doses, vs 32mgs continuously, but I think some people do. Some people get a better effect IV over subQ.

I chose to do the zofran continuously because I did have a double lumen line so I could run it at the same time as my TPN and because the saline flushes tasted so horrible to me.

PostPosted: Aug 19, 2004 11:16 pm
by BlueEeyore
Saline flushes are nasty!

Oh - I didn't even think about the whole PICC and zofran issue very well. I'm giving myself zofran through IV push right now and it doesn't hurt at all. I can't imagine the pump would be any worse.

I wish I had known about the double lumen. I've only got a singe. :(

Oh well, we'll figure something out. I'm probably driving my doc crazy.