Saturday, September 10, 2011
UPS AND DOWNS
Saturday update: I'm loving having this laptop here in Colby's room. THANK YOU Amber. Here's a pic of Colby in his awesome new Spongebob hat that the awesome Pruitt family gave him. Yep, that's what he looks like intubated. Not a pretty sight, but he's still just too cute for words. As soon as he's a little more stable, I'll take and post a pic without that stinky vent tube and tape.
Well, Colby is 25 hours, 50 minutes post extubation!! Yipee. He started out kicking butt. High pressures on the bi-pap machine but weaned down to room air oxygen very quickly, along with being able to use a nasal mask with a chin strap. Overnight his CO2 was a little high, so some ding-a-lings around here decided to wean his pressures from 28/10 to 26/8. I have said 1000 times over we're weaning Colby too quickly both on the vent and now on the bi-pap. His CO2 wasn't too off the chart that we needed to wean that much. HELLO, I'm the mama here, you need to listen to me. Wait, correction, you WILL listen to me and the next time somebody touches those bi-pap pressure settings I may just have to throw my first big stink fit around here. Then a different RT came in and did Colby's 3 a.m. cough treatment. I had drifted off to sleep. No questions were asked as to how we had been doing them. By the time the treatment was done, I was furious. It wasn't done the way his other cough treatments had been done throughout the day (successful with no oxygen drops) and Colby's oxygen dipped in the 40's. Needless to say that was the last cough treatment that person gave to Colby the rest of the night. He's getting the shaky vest and cough assist every 3 hours for now.
Things started to get really interesting, i.e. downright scary, this morning. Colby had a cough tmt at 6:00 a.m. Needed another 1 at 7:00 and things went badly. By 8:00 he was back up on his pressures, 28/10, rate 22, and 50% oxygen. We're now using a full face mask, a shield mask. Colby hated it at first but is doing better with it now. His numbers have stabilized and he seems more comfortable. He keeps it interesting around here, that's for sure. And the attending dr did agree with me that we weaned Colby too quickly. So for today we will work on weaning his oxygen down. He's now 45, down from 50. BUT THAT'S IT! No other changes. They just came in here and did a blood gas so we'll see what his CO2 is. He's sleeping away over there. Good for him. Mom and I are both exhausted. Neither of us got any sleep last night, especially Mom.
I'll update later. Expecting company later today, Colby's babysitter Rosa and her mom. Looking forward to it. Bye for now.
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