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This topic has 3 replies, 3 voices, and was last updated 2 years, 4 months ago by alison.craig1.

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11th October 2018 at 4:30 pm #10099

alison.craig1
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Hi

A patient in ED had a displaced BGT. I managed to insert a BGT after using an Ace stopper first however there was bleeding from the tract as there was resistance.

I managed to get aspirates but it was quite heavily blood stained for about half an hour but able to see colour change on pH strip at between 1.5 and 2.5. I discussed this with a CNS at another hospital and my Gastro Consultant and were all of the view that as blood pH is 7.25, the fact we were getting acidid reading meant the blood isn’t affecting the ph reading.

Does anyone have an opinion on this please?

I ended up keeping her in ED until there were only specks of blood and got pH of 2 but just wondering if anyone has had similar experiences/advice to offer?

Cheers
Alison
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15th October 2018 at 9:10 am #10110

trish.williams
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Hi
I sometimes get blood in the aspirate after a BGT change especially if it is the first change. However as long as the pH is lower than 5.5 my consultant is happy for me to flush the tube and if the patient is ok, then be discharged.

17th October 2018 at 4:39 pm #10123

lindawarriner270
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we do as above

18th October 2018 at 9:29 am #10125

alison.craig1
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Thanks Trish and Linda for your responses. Much appreciated.

Alison
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