Wednesday 8 February 2017

A day in my life

A day in my life
Day/Night medical routine
7.00-So firstly i wake up like every other normal person. I then empty my drainage bags, i then wash my hands and disconnect my TPN:
-First i was my hands
-Then i wipe down my table
-Get out all my equipment- cap for my line, pair of gloves, saline flush, 4 alcohol wipes, sterile field dressing kit, heparin flush.
-I then set it all up.
-Re-wash my hands
-Put on my gloves
-Then disconnect my TPN.
7.15- I then do my morning meds


Morphine (if I need it)- This medication is used to treat severe pain.
•Liquid paraffin- This is used to treat constipation
•Ranitidine- This is used to treat Gastroesophagul Reflux Disease
•Thamicarb- This is mixed with esomeprazole and helps dissolve it.
•Esomeprazole- This is used to treat Gastroesophagul reflux disease.
•Buscopan- This is used to treat pain and spasms
•Ondansatron- This is to treat severe nausea and to relieve sickness.
•Metoclopramide (reglan)- This is to help motility/ gastroparesis and is also an antisickness.
•Paracetmol- This is to treat pain/aches and fevers.
•Movicol- This is used for constipation
•Lactulose- This is also for constipation
•Ibuprofen gel- This is for muscle/joint pains and aches
•Halean cream- This is used for granulation tissue around my stomas.
•Phosphate enema- This is to treat severe constipation.
•Suppositories- This is also to treat severe constipation.
•Selenium- This is a supplement I don't get as I'm tube fed.
•Cholecalciferol - This is to treat a vitamin D deficiency.
•Dioralite- This is to treat dehydration and replace salts and sugars in your body and things such as potassium and glucose.
•Sodium picosulphate- This is a laxative that focuses on the motility of the bowel.
•Tramadol- This is PRN and used to treat severe-moderate pain
•Biasycodal- Used for dysmotility
•Sulcraphate-This helps stop Gastrointestinal bleeds
•Heprin IV-Blood thinner
•Micralax-For constipation
•Flutrocortisone-For my heart and blood pressure
•Ivabradine-For my heart, its like a beta blocker
•Omega 3-This is to help bad gut bacteria
•Magnesium- to help my conditions 

7:45- I then get dressed, wash my face, clean my teeth and do my makeup.


My parents mix my feed up, the feed I'm on is elemental but I'm not tolerating it at the moment but we mix a sachet of this with 1000mls of water I think. I then put 40ml in to a bottle and connect it up, at the moment I'm tolerating 5-10mls per hour for 12 hours.My feed has to be kept in the fridge and changed every 4 hours.


8:30-I then have bloods done and a nurse come to my house.
10:10- I then go to school for as long as i can manage.
Then at lunch time I have:
•Morphine (if needed)
•Buscopan
•Tramadol
•Ivabradine
Glucogel (if needed)
•I also change my feed as it's gone 4 hours so it's gone off.
(I take these at 12pm/1pm)
•Iburprofen gel
•Dioralite

Then mid afternoon I have:
•Metoclopramide 
•Ondansatron
•Paracetmol
(I take these at 3pm) 

At 4pm/5pm I change my feed again

Then evening I take:
•Morphine (if needed)
•Buscopan
•Iburprofen gel
•Ivabradine
•Tramadol
(I take these around 6pm)

5.00- I also watch TV like greys anatomy or some sort of TV.

6.30-I then set up my TPN ready to connect:
-First i wash my hands
-Then i get gloves, saline flush, 2 giving sets, a 2 piece connector extention, a bioconnector, 9 alcohol wipes, sterile dressing kit.
-I then set up and connect my TPN.

8.00- Then at night time I take:
•Liquid parrafin
•Colecalciferol
•Ranitidine 
•Haelan cream 
•Metoclopramide 
•Ondansatron
•Paracetmol
•Selenium
•Omega 3
•Magnesium
Biasycodal
•Sodium picosulphate
(I take these around 8pm/9pm)

9.00-i also turn my feed off.

10:30-At late night I take 
•Amitriptiline 
•Morphine (if needed) 
•Buscopan
•Iburprofen gel
•Dioralite
•Tramadol
•Flutrocortisone
•Ivabradine

11.00- I then try and sleep if i can.



All my meds go through my PEJ/Jejunostomy, this is a tube into my small intestine.


I also have a PEG/Gastrostomy, this is a tube into my stomach, I have my PEG on free drainage connected to a bile bag 24/7 because my stomach cannot digest bile or acid this is because of a condition called gastroparesis, my intestines also reflux bile and feed into my stomach (have backwards contractions) so draining also helps get that out. I change my drainage bag every 24 hours.