Friday, December 25, 2009

A Very Merry Christmas!

Merry Christmas, Everybody!

It's been a couple of days since I last updated... and I do have a good update! =)

T
he transport from PICU to CRC was a little stressful. Thankfully Sheila, an RT from CRC, came to the PICU to make sure the vent settings were just right. The vents the paramedics use are a different model than what CRC uses, so they couldn't get the settings exactly right, so Mia was getting upset and started to desat, so once they got her as stable as possible, they rushed her over to CRC to finally be home. Boy was it a relief to be back!! This is the first time I've felt that CRC is actually Mia's home. It was so good to be back! It was so good to have Jay be there to get her settings just right. She had a rough time the first hour or so that she was there just because she had to recover from the vent settings not being correct.

Th
e really strange thing is that the majority of the time while in the PICU, Mia's settings were REALLY high. She was requiring 35% oxygen (almost 4 liters). Jay came to visit on Tuesday and he was curious of all her settings and co2 and such... and we were both wondering why her settings were so high and she wasn't satting really low. She was always hanging around 90%-96% oxygen saturation. On 35% oxygen, you'd think she'd be satting at 100%.

When she was all settled in, she got a bath, and totally knocked out! Jay set her on a high-flow oxygen set at 100%. Then they were able to lower it to 40%, then 35% and satting 100% within about an hour of her being back. That was exciting to
me!

By the next shift, her c02 was great - right where they should be AND Jay was able to wean her down to only 1 liter (25%) of oxygen and she was between 99%/100%!

In the middle of the night, Mia's co2 was too LOW!! haha So, in order to get her co2 higher, guess what the RT had to do? Yup, wean her breath rate on the vent!!! Isn't this great?? =) Her settings are so much better now and her breath rate is now 30 bpm and in the PICU it was 40 bpm. Mia is doing great at between 1/2 to 1 liter of oxygen and her co2 is remaining in the low 30's - right where it should be! Praise the Lord!! =)

It's confusing us to why Mia was requiring so much of everything while in the PICU. We're thinking something was set quite right, but of course, there's no way of knowing now.

M
erry Christmas to you all!!

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