Written September 26, 2013 9:07pm
Evan had a fantastic day! :)
He did end up having a small infection in throat. They started him on an antibiotic last night. This antibiotic should not have an effect on his kidneys (unlike the last one which combined with the Indocin knocked his kidneys for a loop). The mucus goobers are still present in the lung and the lung is still showing a slight collapse. The doctors did say the x-rays were looking better though.
I was present for rounds this morning. Again, the focus was mainly on his collapsed lung. The ENT (Ear Nose Throat) doctor was out today so they did not end up scoping and suctioning (bronchoscopy). It was decided that Evan would get moved back to the conventional ventilator and they would continue to suction him as needed throughout the day. Evan took to the conventional vent like a champ. I'm sure he's happy to not be a little jello jiggler anymore. This evening, Evan's blood gases were very good (blood gases measure CO2 in the blood stream among other things). Good gases allow his settings to be lowered on the ventilator. He was on room air (21%) almost all day. They are continuing to lower the ventilator settings. Maybe he can switch to a NIV (non-invasive ventilator) sometime in the near future! The doctor tonight said that Evan was behaving as if the right lung wasn't collapsed. Hopefully the combination of antibiotic treating the lung goober, suctioning by the nurses and the new vent will help clear out the goober and ENT won't been needed.
Evan's feeds were also increased today. Tomorrow they hope to increase his calories from 22 to 24. A strong little boy will grow strong lungs!
In the interest of keeping it real - the doctor did say that while Evan is still on the steroids (tomorrow 3 pm is his last dosage), there is a chance that he'll have a little setback. This is to be expected as he may be riding a steroid high. The doctor was very pleased with the progress that Evan made with responding well to the conventional vent though.
I am getting better at my diaper changes. My morning diaper went on without a hitch the first time! I still have yet to change a messy diaper though. I'm hoping Evan goes easy on me for that one... Evan was also considerably less grumpy with me today so that's a plus too!
He did end up having a small infection in throat. They started him on an antibiotic last night. This antibiotic should not have an effect on his kidneys (unlike the last one which combined with the Indocin knocked his kidneys for a loop). The mucus goobers are still present in the lung and the lung is still showing a slight collapse. The doctors did say the x-rays were looking better though.
I was present for rounds this morning. Again, the focus was mainly on his collapsed lung. The ENT (Ear Nose Throat) doctor was out today so they did not end up scoping and suctioning (bronchoscopy). It was decided that Evan would get moved back to the conventional ventilator and they would continue to suction him as needed throughout the day. Evan took to the conventional vent like a champ. I'm sure he's happy to not be a little jello jiggler anymore. This evening, Evan's blood gases were very good (blood gases measure CO2 in the blood stream among other things). Good gases allow his settings to be lowered on the ventilator. He was on room air (21%) almost all day. They are continuing to lower the ventilator settings. Maybe he can switch to a NIV (non-invasive ventilator) sometime in the near future! The doctor tonight said that Evan was behaving as if the right lung wasn't collapsed. Hopefully the combination of antibiotic treating the lung goober, suctioning by the nurses and the new vent will help clear out the goober and ENT won't been needed.
Evan's feeds were also increased today. Tomorrow they hope to increase his calories from 22 to 24. A strong little boy will grow strong lungs!
In the interest of keeping it real - the doctor did say that while Evan is still on the steroids (tomorrow 3 pm is his last dosage), there is a chance that he'll have a little setback. This is to be expected as he may be riding a steroid high. The doctor was very pleased with the progress that Evan made with responding well to the conventional vent though.
I am getting better at my diaper changes. My morning diaper went on without a hitch the first time! I still have yet to change a messy diaper though. I'm hoping Evan goes easy on me for that one... Evan was also considerably less grumpy with me today so that's a plus too!
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