Monday, February 8, 2010
As soon as it was over, he began to seem tachypneic ( pronounced tah-kip-nic).
That's a big fancy way to say he was breathing really fast and hard,
with a heart rate to match.
He seemed to be pulling in so hard for air. Like breathing through a straw.
Retractions heavy. Head bobbing. Looking exhausted.
They bagged and suctioned him.
I hate that.
A little after 4, I noticed his tummy looked a little too rounded.
It was unmistakably distended.
I pointed it out to Molly, the Nurse, today.
She called in Cory, the Nurse Practitioner,
and together they decided another NG (Nasal Gastric) Tube was the best course of action.
Using a large syringe, she pulled out over 180 cc of trapped air
and about 50 more cc of stomach fluid. Poor kid.
Once out, it seemed to relieve the pressure and his tummy softened and looked normal again.
A little after 6, he had his 8th poopy diaper of the day.
As I changed it and weighed it for the nurse, I noticed that his poor bum is looking quite red.
Not just a normal red, but bumpy and fierce.
I knew right away it was yeast from the antibiotics.
Molly called Cory again, and they both concurred.
They wrote up an order for Nyastatin ointment.
Around 8, they started him on his final SBT for the day.
He was resting so soundly, I wondered if it was really worth bothering him.
The RT assured me that it was worth the exercise
if we want to strengthen his little lungs enough to have a chance at extubation tomorrow.