Would you feed someone on pressors?

[Cadet133]

A person who is not on a vent but is requiring pressors. AAOx3. Would you feed him regular diet? Or make him NPO until he is off vasopressor?

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[Hamhock]

Why would you keep him NPO?

HH

 

[deleted547339]

Yes

 

[jdh71]

A person who is not on a vent but is requiring pressors. AAOx3. Would you feed him regular diet? Or make him NPO until he is off vasopressor?

In general, yes, these people can eat.

Sometimes in the first 12-24 hours maybe if you are unsure of trajectory of illness you may have them hold off on eating for a bit, especially if you are unsure of source of the shock or they had "something" that made you suspicious of something GI going on.

 

[deleted171991]

A person who is not on a vent but is requiring pressors. AAOx3. Would you feed him regular diet? Or make him NPO until he is off vasopressor?

If they are perfectly alert and it feels good to them, why not? I would just go slow and see how things go.

 

[Cadet133]

I read somewhere that eating in the first 12 hours while on vasopressors increases risk of intestinal ischemia

 

[deleted547339]

I read somewhere that eating in the first 12 hours while on vasopressors increases risk of intestinal ischemia

I also read that you shouldn’t feed patients who don’t have bowel sounds or flatus.

 

[kemper6036]

yes you can feed them. however if they are on rocket fuel or your escalating doses, I probably would.