Dear Friends:
Please search the archives for this topic. It has been discussed previously, including some excellent posts by Dr. Thomas Hale.
warmly,
Nikki Lee RN, MS, Mother of 2, IBCLC, CIMI, CCE
-----Original Message-----
From: LACTNET automatic digest system <[log in to unmask]>
To: [log in to unmask]
Sent: Sun, 5 Jun 2005 00:00:47 -0400
Subject: LACTNET Digest - 3 Jun 2005 to 4 Jun 2005 (#2005-680)
There are 5 messages totalling 215 lines in this issue.
Topics of the day:
1. another MRSA story
2. formula "gift" packs
3. Zyrtec and low milk supply
4. Marijuana
5. HMF in mother' milk, preparation under laminar hood?
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Date: Fri, 3 Jun 2005 21:12:47 -0700
From: MomtoLJ <[log in to unmask]>
Subject: Re: another MRSA story
Aterax is an alternative antihistamine, that I think works well. Can
you ask about that?
Joylyn
Kathy Eng wrote:
> Took my 17 year old to the pedi today. She has a fire ant bite that
> has gotten huge, like maybe 6 inches across and fiery red and painful.
> First thing out of my pedi's mouth was "MRSA" as a strong possibility.
> He said he is lancing several MRSA infections a week and is very
> concerned that this doesn't progress. Put her on antibiotics
> (omnicef), steroids, bactroban. Not the antibiotic of choice because
> she will be out in the sun as a camp counselor and we are allergic to
> sulfa drugs. She also can't take benadryl. Told us to come back on
> Monday if it gets worse, do not fool around.
>
> Off topic, but if anyone has any good home remedies for people highly
> allergic to fire ant bites, please email off list.
>
> Kathy Eng, BSW, IBCLC
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------------------------------
Date: Sat, 4 Jun 2005 11:21:15 -0500
From: Winnie Mading <[log in to unmask]>
Subject: Re: formula "gift" packs
I strongly believe that the first step is to get rid of the notion that
these are in any way "gifts"! They are advertising samples, nothing else.
By promoting the concept of a gift, patients are led to believe they are
somehow their "right". This is perpetuated by getting coupons in the hands
of expectant moms so they bring them to the hospital to ask for their gift
and are then a little miffed if they don't get it. (A technique that grows
as the number of hospitals opting out on playing the game increases.) After
all, the coupon says it's their right to get it (and don't we all like to
get something we perceive as free?) Nurses are put in the role as the
givers or refusers of these so called gifts and who wouldn't rather be
perceived as a giver rather than one who refuses to give a gift?
Winnie
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------------------------------
Date: Sat, 4 Jun 2005 13:04:37 EDT
From: "Mary Kay Smith, RN, IBCLC" <[log in to unmask]>
Subject: Zyrtec and low milk supply
I met with a client last night who has a low milk supply and a nine day old
who has not stooled since Wednesday. He is nine ounces below birth weight and
was being supplemented until Wednesday (due to "high bilirubin) when the
pediatrician said it was OK to quit the supp. She had not been pumping during
that
time and he was getting 8 oz. per day! When we pumped she got 20 ccs after
twenty minutes of pumping with a Classic(single kit, her choice, switching every
5
minutes). She also c/o being thirsty all the time. He is not transferring
much at the breast either so I recommended that we get back to supplementing
while working on increasing the milk supply. Mom is also very anxious and hyper.
She is taking Zyrtec and using Flonase for "allergies and has been for the last
two years. She said the Zyrtec "helps her sleep."
Has anyone else had this experience with Zyrtec?
Mary Kay Smith, RN, IBCLC
Canton MI USA
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Date: Sat, 4 Jun 2005 10:10:49 -0700
From: Suzanne Bowes <[log in to unmask]>
Subject: Marijuana
Hello Lactnetters! Marijuana has reared it's ugly head, again. I am
interested in knowing how other NICUs handle the marijuana issue. And any new
or old research that someone may have, please send it my way. I live in a state
that allows marijuana for medicinal use. Does anyone have experience or
knowlege of how this impacts it's use and breastfeeding? You may reply to me
personally.
Thanks,
Suzanne Bowes RN, IBCLC
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------------------------------
Date: Sat, 4 Jun 2005 13:20:31 -0400
From: Rachel Miller <[log in to unmask]>
Subject: HMF in mother' milk, preparation under laminar hood?
I am searching for information about safety concerns/recommendations about
preparing human milk with the additive of human milk fortifier in a
NICU/SCN setting.
To prepare all the infant's feeds in our SCN, currently our hospital uses
the clean counter beside the main breastmilk refrigerator and adjoining
sink .
Is a laminar flow hood now being recommended? Our nurse manager is updating
our SCN policies and stated she thought JCAHO's recommendations were for
laminar flow only.
This is the information I've found on line so far....
http://www.adhb.govt.nz/newborn/Guidelines/Nutrition/HandlingFeeds.htm
These detailed 2003 "Guidelines for Preparation of Formula and Breastmilk
in the Health Care Setting" by the American Dietetic Association:
http://www.eatright.org/Public/NutritionInformation/92_17242.cfm
Canada's health professional advisory r/t powdered infant formula
preparations:
http://www.hc-sc.gc.ca/food-aliment/mh-dm/mhe-
dme/e_enterobacter_sakazakii.html
Only the Canada site mentions in passing preparation under a laminar flow
hood.
How many NICU/SCN's are using Laminar flow hoods to add HMF to human milk?
Why and why not? Any suggestions or additionsl references for me?
Thank-you in advance for the help,
Rachel A. Miller RN, BSN, IBCLC
hospital based
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End of LACTNET Digest - 3 Jun 2005 to 4 Jun 2005 (#2005-680)
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