As the week progresses, Evelyn is much the same as the weekend: hydrated but still putting out way too much from her ostomy. On Monday evening, formula was started at a slow rate and kept there through the day yesterday; however, it had to be stopped again in the middle of the night last night because her output was pushing 2 liters for that 24 hr period. This morning, Dr Mercer would like to start a trial of doing 30 mL/hr through the g-tube and slowing the IV fluids, to be sure that the high stool output isn’t also from being over-hydrated. If she doesn’t do well, she will be started on TPN again and sent home to recover. He has no guess yet as to why she has had this episode, but we’re hoping with time we can establish a pattern.
Continue in prayer.