Can My Dad Go Home with INTENSIVE CARE AT HOME on Inotropes, Dialysis and Tracheostomy?

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Can My Dad Go Home with INTENSIVE CARE AT HOME on Inotropes, Dialysis and Tracheostomy?

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If you want to know when is the right time for your dad to leave ICU and go home with Intensive Care at Home, stay tuned! I have news for you.

Hi, my name is Patrik Hutzel from intensivecareathome.com where we provide tailor-made solutions for long-term ventilated adults and children with tracheostomies at home, and where we also provide tailor-made solutions for hospitals and intensive care units whilst providing quality care for long-term ventilated adults and children with tracheostomy at home, otherwise medically complex adults and children at home, which includes Home BIPAP (Bilevel Positive Airway Pressure), Home CPAP (Continuous Positive Airway Pressure), also home tracheostomy care for adults and children that are not ventilated, Home TPN (Total Parenteral Nutrition), home IV potassium infusions, home IV magnesium infusions, and home IV antibiotics. We also provide port management, central line management, PICC (Peripherally Inserted Central Catheter) line management as well as Hickman’s line management. We also provide palliative care services at home.

We also have sent our critical care nurses into the home for emergency department bypass services and we can do the same for your hospital as well.

Today, I want to answer an email from Sue who says,

“Hi Patrik,

My dad has been in intensive care for four months now. He has a tracheostomy but has been off the ventilator for about a couple of weeks now. He is on and off dialysis and he’s also on and off small doses of inotropes such as noradrenaline. Can my dad go home with Intensive Care at Home?”

Well, Sue, thank you so much for asking that very succinct question and I know we’ve spoken on the phone before.

Look, your dad can definitely go home even if he’s on small doses of inotropes such as noradrenaline. Most of the time, if it’s a small dose of noradrenaline that he needs, it could be changed to midodrine, which can be given via a PEG (Percutaneous Endoscopic Gastrostomy) tube or a nasogastric tube. Your dad in this situation will most likely need a PEG tube. At the moment, he still has a nasogastric tube, so he will most likely need a PEG tube. But once he’s got that and the IV inotropes such as noradrenaline or norepinephrine are changed to midodrine via the PEG tube or the nasogastric tube, then he can go home.

Dialysis can be done as an outpatient. If he needs it three times a week or whatever the case may be, he can go there as an outpatient with our nurses, of course, because your dad will need 24-hour intensive care nurses at home to manage the tracheostomy, to manage the midodrine, to manage all the other medications he’s got going on, to manage the safety of the tracheostomy in particular, but also to manage the PEG tube, and also manage all other nursing care aspects that he needs, which is 24-hour nurses with intensive care nurses, otherwise he couldn’t leave ICU.

So, this is all doable because we have clients at home that are on midodrine, for example. Midodrine is a vasopressor and that needs very, very close monitoring of ICU nurses, 24 hours a day, including monitoring of the tracheostomy, of course, making sure it’s not blocked and making sure it stays patent, making sure the inner cannulas are changed regularly, making sure he’s getting the nebulizers, getting the suctioning, and also that he’s getting mobilized every day so that he can build up his strength.

I hope that answers your question, Sue.

Continue reading at: https://intensivecareathome.com/can-my-dad-go-home-with-intensive-care-at-home-on-inotropes-dialysis-and-tracheostomy/