Hi,
This is a reprinted message;as always this is for information purposes only,you must consult with health professionals(doctor and dietician) for more info.
It will not be a bad idea to ask the head dietician to do a swallow evaluation to see how well your mom can swallow things;ask him/her to see whether entero feeding is out of the question or which one at this point is better if TPN is needed based on the carloies count, electrolytes and hydration needs,- peripheral TPN or central TPN ,cyclic or continuous?) .One caution,having TPN for a long period of time may cause ammonia level to rise. (because the amino acids content in the TPN)and you may need to watch out for that.Base on what you wrote,it may not be a bad idea to have TPN if the dietician agree. I don’t understand why blood transfusion is so difficult to have in your case especially post-op.My post-op Hgb at discharge was 10.5. so there is no need for blood transfusion.
God bless.