Wednesday, August 1, 2012

Always something

So Caydence kinda had a rough day today. When we got to the hospital this morning she was pretty agitated. Her breathing rate was high, her heart rate was high, and her blood pressure was high. She was having tons of secretions and just wouldn't settle. Normally if she is agitated it is due to the secretions and she just needs a good bag suction. Today that just wasn't the case. This went on all day. She would be upset, then settle out a little and fall asleep, then about 30 minutes later she would be waking up crying again. And when I say crying I mean she looks like she is crying but no sound comes out since she has the breathing tube in, this is the saddest thing to see. It was breaking my heart all day seeing her so upset and we couldn't do anything about it. The doctors decided to to a x-ray to see if her feeding tube was in the right place because we weren't able to get anything out when we pulled back on it. When the x-ray came back it showed she had a belly full of air. So we stuck a bigger tube in the other side of her nose and sucked all the air out and let it be on continuous suction for an hour to make sure we got it all out. We also drew some blood to check her WBC and CRP to see if maybe she has an infection coming on. Both came back elevated so we drew blood cultures and started antibiotics. I just hope that the cultures come back negative because the last thing we need is an infection. I am really worried about her broviac line being infected because that line has been in since her first surgery. I just don't want to have to put her through the process of taking it out and putting a new one back in. It's not like it's just a normal IV. It just seems like something always comes up when we think she is doing so good. I think Caydence has been here so long that she just thinks this is her home and doesn't want to leave. She started looking better tonight after change of shift, her breathing rate and heart rate went down quite a bit. So I am hoping that whatever was going on today will just pass and she will be back to her normal self tomorrow and we can get back on track with weaning down the vent for our goal of extubation.

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