Day +1 was not super easy for Elle. She had several periods of discomfort, her wounds are a little worse, and after her dressing change she was desatting again. I did have to suction her ( which is a last resort right now and only I do it), reposition, place her O2 right in her face, and she got a R Epi nebulizer treatment to decrease tissue swelling in her upper airway. She did finally normalize and was placed in an O2 tent to increase oxygenation and decrease work of breathing. She finally fell asleep for 15 minutes then awoke crying and writhing. Could not figure out what but after 45 minutes of trying different things, she finally settled. She must be exhausted.
She may be electively intubated soon to avoid complications from an emrgency intubation. We will discuss in rounds. Her BPs are controlled for now and weights and wet diapers stable/good, but she keeps spiking fevers low grade to 101 intermittently.
Oh and Happy Birthday Bonita!
|In her glass box of emotion|