Well it seems that we finally have a reason for what's been going on. Two reasons, I guess.
1. Significant swelling from the T&A, which we already knew.
2. That swelling seems to have contributed to her aspirating. (This, we didn't know. And damn it, I knew something was going on while she was nursing and taking pain medication, but nobody listened to me. I'm discovering that my thoughts and instincts have been more right than I've given myself credit for.)
So at this point they are treating her aspiration into the right lung with Cpap treatments every 2 hours. Over night she seemed to be gradually improving with increased oxygen saturation.
This morning, though, her sats are still up and blood gases pretty good, but she's working harder to breathe again. The updated chest x-ray shows some improvement.
The main concern right now is that she has still been needing 50% or more oxygen in the cannula. And apparently if they can't reduce that amount with good results today, she will still need to be intubated. We're glad that the throat swelling is down after the steroids and such, but obviously intubation will probably increase that. And they'll need to sedate her and give her a paralytic to do so. We know that she is very sensitive to meds. That she takes forever to wake up after sedation and that it whacks her out big time.
This morning, as I was snoozing away for 5 whole hours (a record in the last 5 days!) she was really agitated so they gave her Ativan for anxiety. She's been pretty much out for about 3 hours Her sats are still in the 90s, but I imagine she would be doing better if she weren't sedated. Last night when she got agitated the nurse let me climb into her crib with her (wish I'd had a picture of that) and I was able to calm her down. Hopefully once the Ativan wears off this can work again. Although they are going to have to use an NG or OG tube to remove the air that's building up in her stomach and that is BOUND to piss her off. So we'll see.
So all in all, things are looking up to a degree. At least we know what the problems are at this point, and the treatment is helping, but just not quite fast enough.
So if you're still thinking of our girlie, any thoughts or prayers that her breathing continues to improve and that her oxygen can be weaned throughout the day would be wonderful. So far, the love that she's been getting has definitely been making some waves. So thank you.
Glad you got some answers. Hope she continues to improve!ReplyDelete
I think of you guys all the time, hoping that Cora is on the mend. Ben just gave me his sad face, which can only mean one thing, "Get well soon Cora! I'm worried about you!" :)ReplyDelete
I've been worrying about little Miss Cora. So glad you got answers. Praying that she keeps getting better and you are home with your little snuggler soon!!!ReplyDelete
Praying for you guys.ReplyDelete
I'm so behind on blogs, but I'm keeping Cora in my thoughts. Glad you got some answers, hoping everything starts looking way up soon!ReplyDelete
Continuing to pray. Little Cora was in my thoughts this morning. She has already been through so much I have to believe she has a strong will. When this is all over and things have settled you'll have to watch out for that. Right now, its awesome cause she's going to keep fighting. Not so much when she's 16!ReplyDelete
Oh, wow, that sounds rough for her and you. I'll say a prayer for her tonight.ReplyDelete
OMG I just read the post from a few days ago with the whole rapid response team and that must have been so scary for you and Cora. I can't imagine. I am SO happy that she is doing better and I am praying she won't need to be intubated. Thanks for the updates. Praying praying praying. Alysia (armstro3)ReplyDelete