I was told that Michael did not sleep well last night. Michael indicated that everything was fine.
I had mentioned that yesterday the nurse at RMC gave him an additional sedative for transport and that possibly made him sleepy during the day. I am also wondering if RMC gave Select correct information on the amount of sedation he was getting there. This morning he seemed over sedated. When PT tried to sit him up his O2 (sats) quickly fell to the low 80s. He was dizzy, they had to let him lay down right away. They did try to assist him with movement of his arms and legs. After PT I noticed his sats stayed low 87-88. The alarm at Select is set much lower than the ICU which goes off at 88. The alarm started going off at 84, he actually fell to 82-83. I was very concerned. Staff came in and looked at him and then went to find equipment they needed to suction him. They didn't seem overly concerned. (I was freaking out-quietly on the inside). RT came and suctioned him and put him back on the C-PAP. His O2 requirements were higher than what he was doing well on yesterday. Last Night they got a sputum sample to culture. Michael has been off of antibiotics for 5 days, so he could easily have gotten an infection. My concern was that if his sats were low that he may be sick. They will also monitor temperature to look for fever. PT did reduce the size of the cuff on his trach. (A cuff is used to prevent O2 from leaking around the trach). The cuff size is reduced to let air flow around the Trach to slowly accustom the patient to regular breathing.
No comments:
Post a Comment