Ava had a good night and the night nurse thought for sure she would be able to come off the paralytic because she was wiggling around so much. She is down to 50% O2 and her blood gasses were 58, 81 and 63, and 44. She is still not eating because surgery is looking at her belly films. They took her off the paralytic later in the day, and she started sounding weazy and when she exhaled it was very awkward and long. It took her a while to exhale. I tried to get them to change back to the original 5.0 uncuffed trach because the day we changed it to the 5.0 cuffed trach we started having troubles and we are not finding anything wrong. The fellow on tonight said he would talk about it on rounds but unfortunately they wouldn't do it. My theory is that she is not used to not having a leak around her trach and she doesn't know how to breath with all the pressure that is now on her lungs and not coming out from around the leak. Hopefully tomorrow, we can get that changed. If we are not finding anything else as the problem, there is no hard in trying to change the trach. That was the whole point to why we only changed the trach and didn't do anything else on Friday. That way if something was wrong, we could correct it by going back to the old trach.
Thanking God for Ava and praying that the doctors and nurses have wisdom and knowledge...
No comments:
Post a Comment