the kiddo had kind of a rough night. her heart rate was high and her oxygen saturation was low. she was put on oxygen and her sats still didn't get above 94 until this morning. the resident thought that her heart rate might be high because she hadn't had anything to eat or drink so she might be getting a bit dehydrated even though she has iv fluids. she bumped up her fluid rate and that brought her heart rate down a little. she stayed around 130-135 all night long. she is now sitting around 110. her usual is high 60s low 70s so this is still high for her. she started to cough at one point in the night and her heart rate went from 140 to 60 really fast. she lost all the color in her face. the nurse and i tried repositioning her and her heart rate came up a bit. she then started crying and her heart rate shot up to 185-190. so she was given morphine. she has some gunk in her throat that she can't quite cough up and of course she's being a stinker about getting it suctioned out. i don't know if that is what is affecting her oxygen sats or not. they put her on room air at around 8 am and she's still not getting much above 96. they did a blood draw this morning b/c she looks pretty pale. i haven't heard the results of that yet. a surgical resident came in and checked her out. he said that they would start feeds tonight. and as long as she tolerated them she could go home tomorrow. her pediatrician walked in 5 minutes later (with a surgical med student) and checked her over. he said that they would start feeds very slowly tonight and see how she responded. he doesn't see her going home any time before monday. do these people talk to each other?!? he listened to her belly and he didn't hear any bowel sounds. the nurse said the same thing earlier. kind of worrying...maybe they aren't hearing anything b/c she hasn't had anything?
i just feel so bad for her. when she wakes up she looks at me like "mama what the heck is going on here?!?!?!?" her eyes are all big and shocked. then she drifts back off to sleep. i hope she starts to perk up later. it's hard to know that she might be in pain and not be able to tell us =(
2 comments:
Sorry to hear that Akaiya had a rough night. :( I hope they can figure out what is going on with her heartrate and her oxygen levels soon. I am thinking about her constantly and praying that she starts to feel better soon. Thanks for posting. I'd like to come see her in a day or two...whenever you think she is better and can tolerate a visit. Take care and hang in there! I hope you can get some rest!
i totally get what you're going thru. The inexperience needle pokers (we want the anaestetist!), the delays, the miscommunications. In Vera's case, yes the gunk if not suctioned well can cause sats to dip. I can imagine how akaiya might struggle against it! I know that "momma what's going on here" look. Know how frustating a long hospital stay can be. Hope she'll stabilise once she gets her strength back with the feeds.
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