Courtney slept well until about 5:30 or so. They came in to do a chest x-ray, then she decided to go potty. I helped her out of bed and onto the potty, but she still isn't producing much and she is complaining about pain in her belly. After her CPPD, she was able to cough up quite a bit of secretions and her O2 SATs didn't drop as bad as they have been with the biPAP mask off. She also brought her SATs back up quicker than she had been.
This morning during the doctor rounds, they came up with a plan for weaning her off the biPAP. They will wean the O2 down gradually until we get to 50% with her maintaining her SATs. Once she can maintain that overnight, then they will start adjusting the peep values (the amount of pressure that it uses to blow the air) on the biPAP to see if she maintains her SATs. They are also taking the mask off a couple of times during the day for very short periods of time to help strengthen her lungs. If all goes well, we could be in a room on the floor sometime between Sunday and Tuesday. If she goes at a slower pace, we will just have to adjust accordingly. She is currently at 55 % and her SATs are staying at 94.
The nurse put her in a standing position after she went potty this morning. She was able to stand on her own and lift one foot then another [twice] before being placed back in the bed.
They tried unsuccessfully to put the catheter back in this morning to help her from holding in urine. She was able to produce more on her own after that, but it is still a concern.
I will update the blog again later tonight to let everyone know how we progressed with the weaning process.
Thank you,
Randy
1 comment:
I'm excited to hear about Courtney standing up and moving her feet! I know that was hard work, but good progress. still praying.
Nurse Sherry
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