From an RN in Spring, Texas, USA:
I will be taking care of my neighbor's 30 year old daughter who has Down syndrome and takes insulin after her four wisdom teeth are removed. None of the doctors will do this in the hospital so she will be cared for at home. I am sure you know it is very difficult to vary from normal routine.in people with special needs. Do you have any suggestions for diet during the first 48 hours after surgery
The first thing is to work with the diabetes specialist and dietitian/diabetes educator to establish baseline caloric needs. On the day of surgery, I am certain she will be sedated and will not have breakfast. Surgery should be in the morning, and the insulin dosing adjusted accordingly.
As for the surgery, insist on having extraction sites sutured and Gelfoam placed. Eatingwise, pudding and jello and milk are important. Careful, frequent blood glucose monitoring is essential,and pain management should be conservative.
Post-operative care after 24 hours should include alternating rinsing with warm salt water (saline) and Peridex (chlorhexidine rinse)). On a Down's patient, rule out the need for antibiotic prophylaxis by the physician for underlying heart problems (heart murmurs). If the blood glucose average exceeds 200 mg/dl [11.1 mmol/L], antibiotics are imperative since the white cells will not work at these levels.
Original posting 30 May 2003
Posted to Surgery
|Return to the Top of This Page|
Last Updated: Tuesday April 06, 2010 15:09:46
This Internet site provides information of a general nature and is designed for educational purposes only. If you have any concerns about your own health or the health of your child, you should always consult with a physician or other health care professional.
This site is published by T-1 Today, Inc. (d/b/a Children with Diabetes), a 501c3 not-for-profit organization, which is responsible for its contents. Our mission is to provide education and support to families living with type 1 diabetes.
© Children with Diabetes, Inc. 1995-2018. Comments and Feedback.