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Date: | Thu, 23 Jun 2005 21:30:27 EDT |
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This is interesting that this should come up today when this week we have
had a couple questions regarding CAT scans.
I was told that a 2 day postpartum mother was down having a CAT scan on her
bladder. The staff wanted to know how long the mother would have to "pump
and dump."
I called down to the CAT scan dept. and the first person told me that they
would be instructing the mother on how to handle this test with breastfeeding
but would not give me any information. I finally got a person to tell me
what the contrast they were using, which if my memory is correct was Ulvister
300. I don't have that information with me at home.
The person on the phone informed me that the mother was instructed to pump
and dump for 24 hours and that was their standard policy. I asked for more
information on the contrast, including the half life so this person looked it
up.
Now, this contrast is not in the latest Hale Book unless it has another
name.
She reads to me that the half life is 2 hours, that the amount that would
theoretically would pass into the breast milk is .001 and that there have been
no untoward effects reported on any babies. She then went on to
say..............are you all ready for this................the normal dose used on babies
is 1-2.
I asked, "You use this contrast in CAT scans for babies?" She said yes.
Then I said "why are you having this mother pump and dump?" She said this was
the mother's decision. I asked her if she had shared this information that
she just read to me with the mother and she said no.
I said, yes this was the mother's decision but she deserved to make AN
INFORMED DECISION! The only information they had given her up to this time is
that she needed to pump and dump for 24 hours.
I let the nursing staff know the whole conversation but I am afraid that the
only thing this mother heard was pump and dump for 24 hours. :-(
I have my work cut out for me tomorrow.
Ann Perry, RN IBCLC
Boston, MA
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