Day 475

Ava didn't have the greatest night last night but it certainly wasn't the worst. She had to be suctioned twice and she was teething again. The nurse said that her four molars are coming in. I know the bottom two are but I haven't felt the top yet.

She had a decent day except she wouldn't take a nap for very long. We finally got an hour out of her from 4:30 - 5:30 pm. She also wasn't acting like her normal self afterwards. She was due for her trach change tonight as well but she was sounding very wheezy. We gave her albuterol before starting anything and suctioned her a couple of times because you could feel the secretions in her lungs. We changed her trach and noticed there was a lot of secretions in her trach. We cleaned it out and there was a lot of goop in it. It might have been her trouble for the past couple of days with her slight wheeze sound. Then we couldn't get her vent tubing from alarming from all of the water in the tubes and the circuit, so we decided to change it. I hooked her all back up and then the peep sounded so loud as if her vent was off and it kept alarming disconnect. So I changed it to a new circuit and everything was fine except Ava was still wheezy. I told Anthony that we will call the doctor after we give her the Albuterol, Atrovent, saline neb, chest pt, suction her and the QVAR. After we were done, we listened and she still had a slight wheeze. I had to empty her gastric juices and put them back in and after I did that, I listened to her lungs again and she sounded clear. Whew! Thank goodness! We didn't want to have to take her to the ER. I still called the doctor and she figured all of Ava's secretions were causing her wheeze. I did have to suction her a couple of times after changing the trach, but she still sounds good now. The night nurse who was on the two nights Ava needed CPR is back for her first night. Please pray that it goes well. She is nervous and so am I.

Ava weighs 9.90 kg = 21.83 pounds. Ava's length was 70 cm = 27.56". Head circumference was 44 cm = 17.32".

Thanking God for helping us with Ava and praying for Ava to be healthy and fight any illness or infection... or anything for that matter...