Sacubitril-Valsartan, Milrinone, Nesiritide, Ivabradine - Free Sketchy Medical Lesson

Lots of changes over here.We’ve been weaning Jax down by 0.1 each day on his milrinone (his heart failure medication). Every time we get to a certain point, though, he starts throwing up more. This morning alone he had 4 big vomits before 10:30.After talking through it, we made the decision to switch his G-tube to a GJ tube. That means instead of his feeds going into his belly, they’ll go through a longer tube that passes into his intestines.If I’m being honest, it feels like a step back.A GJ me