Tuesday, January 24, 2017

Joseph is off the ventilator ... barely - Tue, Jan 24, 2017 at 10:58 AM

Good luck reading my notes..this is hot off the press

11am - Allyson
Extibation was done at 10am
Still swollen
on Nasal IMV - Intermittent mechanical Ventilation
Step above the CPAP
He wasn’t keeping up his own 
1 Dose of RecimickEpui - A type of epinephrin
1 Dose of Ativan is in progress
   * Need to calm him down

Was very irritable…he wanted it out
His vent settings was on very low support over night
Gave him a partial feeding before 
May be a little hungry
Breathing is via Nose - which will agitate the back of his throat
Give him a break through dose of the Ativan
      * hoping that this will calm him down

O2 42%
TCM - Needs to be recalibrated
Blood Gas? Not during the night
   Not highly concerned - just treating him
Just need him to calm down 
Heart Beats are good
RR - set to 40 breaths to minute 

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