3:30 a.m. Breathing Treatment.
3:50 a.m. BP 189/73 on wall unit. 199/93 on machine. Wt 155.9.
Small BM on seat - moved from bed to chair.
Medicine applied to bed sore.
4:00 a.m. Complained of burning. Repositioned foley catheter.
5:10 a.m. BP 175/78 (wall unit). Oxygen 93.
5:20 a.m. Irrigated foley.
5:30 a.m. Bladder scan - 765 in bladder.
5:40 a.m. Blood Sugar 158.
5:55 a.m. BP 159/70
6:40 a.m. Put in new foley.
7:10 a.m. Temp 97.8 BP 154/72.
7:30 a.m. Chest Xray.
8:15 a.m. Ate all breakfast. Breathing Treatment.
8:25 a.m. Spirometer.
8:45 a.m. Got bath - Teeth brushed.
10:00 a.m. Walked a complete lap around the floor. - Yoo Hoo!
10:30 a.m. Blood Sugar - 341. Karen said they will take away grapes and bread.
10:45 a.m. Dr. Newton came and said Sally should stay in Rehab 7 - 10 days - Rehab will come today and talk to us about Rehab and do an evaluation. Dr. Newton was proud of her walking her lap.
11:05 a.m. Temp 97.3. BP 152/80. Oxygen 92.
1:00 p.m. Spirometer.
Karen said that yesterday afternoon after she had been lying on her left side in bed for a while, they moved her to her right side. She started having difficulty breathing and was sounding raspy. So they switched her back to her left side and breathing got better again. Then they did a chest xray. Dr. Newton and another doctor are both going to read the xray to look for differences in the two sides.
1:15 p.m. Taken for a walk by physical therapist. (I'm still concerned about Sally's progress in mobility and alertness).
1:50 p.m. Completed lap 2 of walk. (Lap 1 was at 10:00 a.m.) She's very tired.
Areas of concern that may affect Sally's discharge day - Rehab: 1. Bed sore. 2. Occasional high BP. 3. High Blood Sugar. 4. Mobility difficulty.
3:24 p.m. BP 154/72. Temp 99.4.
3:30 p.m. Breathing Treatment.
3:45 p.m. Blood Sugar 281.
3:50 p.m. Spirometer.
4:00 p.m. Walked around the block in 30 minutes.
4:50 p.m. Out-take 530.
5:00 p.m. Nephrostomy bag emptied - 150.
5:05 p.m. Supper - Ate most of soup, 1/2 peaches, 1/4 broccoli, 10% pasta, drank all tea.
5:25 p.m. Insulin- upped it to 3 units plus sliding scale.
Rehab (HealthSouth) Visiting Hours: Mon. - Sat. 4:00 p.m. - 8:00 p.m. Sundays and Holidays -
12 noon - 8:00 p.m.
7:10 p.m. Vitals (by John) Temp 99.4, Oxygen 95, BP 180/81 by machine.
7:12 p.m. Breathing Treatment (by Tommy).
7:20 p.m. Nurse/Amy came by and rechecked BP manually - 162/78. She also checked for swelling, checked her incision and checked leg where vein was removed, flushed PICC, will come back and put cream on bed sore when she gets her ready for bed.
8:00 p.m. Sharon to spend the night tonight.
Still have not heard from Rehab at this time.
Sunday, November 30, 2008
Saturday, November 29, 2008
Saturday
Up at 5:00 a.m. to go to x-ray. Weighed 155. Blood sugar - 96.
Nurse gave suppository at 5:30 a.m. Mobility is still not very good. Needs to try and change positions occasionally because of bed sore.
Had good BM at 6:30 a.m.
Breakfast at 7:30 a.m. Ate all cherrios, grapes and yogart. Didn't eat toast. Temperature - 98. Blood Pressure - 138/80.
Had BM at 8:00 a.m.
11:30 a.m. Blood Sugar - 249.
For lunch Sally ate all Tomato Soup, 1/2 roll, all peaches, 1/2 broccoli and 1/2 potatoes.
12 noon Dr. Newton came by and talked to Lisa and Sally and asked if Rehab Therapist had talked to them. Lisa said Sally has been snoozing this morning.
12:30 p.m. Used incentive spirometer. Sally isn't using cannula right now.
12:35 p.m. Manual BP is 190/89! Nurse says that's high. She asked if Sally is taking anything for it, then left. Sally told us she normally takes verapomil (Sp.?) for BP.
12:45 p.m. Nurse asked us to leave while she applied some cream to Sally's bed sore.
Sally still seems somewhat lethargic. Don't know if that's normal or not at this stage. Maybe it's a result of her BP reading of 190/89.
1:10 p.m. Tech asked us to leave so she could bathe Sally.
2:10 p.m. Sally did the incentive spirometer for about 10 times.
3:20 p.m. Sally was put back in bed on left side. Needs to be moved to other side at 5:20. Sore is in middle of back.
4:00 p.m. Breathing Treatment
4:10 p.m. Blood Sugar - 149.
4:45 p.m. Sally swallowed pill, nurse flushed pic line and offered to turn Sally, but Sally didn't want to.
4:50 BP - 173/79. Temperature - 97.8.
5:15 p.m. Used Incentive spirometer. Got up to 500.
5:20 p.m. Supper - Sally ate 1/2 of potatoes, 75% of soup, 3 bites of collard greens, 1/2 of fruit bowl and drank 1/2 of tea.
5:45 p.m. 650 total out-take. 150 total in-take. Don't push drinking water until doctor tells us different.
6:10 p.m. Sally used incentive spirometer. Got up to 500 again.
7:00 p.m. Vitals BP - 163/78. Temperature - 99.9.
7:20 p.m. Breathing Treatment from Respiratory Therapist.
Nurse gave suppository at 5:30 a.m. Mobility is still not very good. Needs to try and change positions occasionally because of bed sore.
Had good BM at 6:30 a.m.
Breakfast at 7:30 a.m. Ate all cherrios, grapes and yogart. Didn't eat toast. Temperature - 98. Blood Pressure - 138/80.
Had BM at 8:00 a.m.
11:30 a.m. Blood Sugar - 249.
For lunch Sally ate all Tomato Soup, 1/2 roll, all peaches, 1/2 broccoli and 1/2 potatoes.
12 noon Dr. Newton came by and talked to Lisa and Sally and asked if Rehab Therapist had talked to them. Lisa said Sally has been snoozing this morning.
12:30 p.m. Used incentive spirometer. Sally isn't using cannula right now.
12:35 p.m. Manual BP is 190/89! Nurse says that's high. She asked if Sally is taking anything for it, then left. Sally told us she normally takes verapomil (Sp.?) for BP.
12:45 p.m. Nurse asked us to leave while she applied some cream to Sally's bed sore.
Sally still seems somewhat lethargic. Don't know if that's normal or not at this stage. Maybe it's a result of her BP reading of 190/89.
1:10 p.m. Tech asked us to leave so she could bathe Sally.
2:10 p.m. Sally did the incentive spirometer for about 10 times.
3:20 p.m. Sally was put back in bed on left side. Needs to be moved to other side at 5:20. Sore is in middle of back.
4:00 p.m. Breathing Treatment
4:10 p.m. Blood Sugar - 149.
4:45 p.m. Sally swallowed pill, nurse flushed pic line and offered to turn Sally, but Sally didn't want to.
4:50 BP - 173/79. Temperature - 97.8.
5:15 p.m. Used Incentive spirometer. Got up to 500.
5:20 p.m. Supper - Sally ate 1/2 of potatoes, 75% of soup, 3 bites of collard greens, 1/2 of fruit bowl and drank 1/2 of tea.
5:45 p.m. 650 total out-take. 150 total in-take. Don't push drinking water until doctor tells us different.
6:10 p.m. Sally used incentive spirometer. Got up to 500 again.
7:00 p.m. Vitals BP - 163/78. Temperature - 99.9.
7:20 p.m. Breathing Treatment from Respiratory Therapist.
Friday, November 28, 2008
It was a good Friday with Sally today
Sally's central line was taken out today :)
Also, the drain tube from her lungs was removed by Dr. Newton.
Oxygen through the cannula was stopped this morning, but was put back at 7:10 tonight when her vitals were taken. Her oxygen reading was low (89). With the oxygen started again, the level went up to 91, and we were told it would probably go up higher in a little while.
At 7:10 p.m. BP was 166/76 and Temp. was 100.4.
Her daughter, Lisa, will spend the night with her tonight.
Her night nurse tonight is Joe. He says he'll be looking in on her throughout the night.
Sally may be going to the HealthSouth rehab facility this coming Monday to help with her walking. Earlier today she walked from her chair to the door and back with a walker. Right after that, the physical therapist came in to help her walk some more. That time she was only able to walk a few more steps. She also walked from her chair to the bathroom with the help of 3 people.
Diane, the Diabetic Educator, came by and told Lisa & Karen that all caregivers must learn to give insulin injections. Sally will need them once a day, in the morning, at the same time every day. The injections will be given in the stomach. One day for one side and the next day, on the other side of the stomach.
Sally's case worker, Regina, came by and said that someone from rehab would be coming by....then later, Sheila, from HealthSouth came and talked a little about rehab. She mentioned that the visiting hours will be restricted while in rehab.
Also, the drain tube from her lungs was removed by Dr. Newton.
Oxygen through the cannula was stopped this morning, but was put back at 7:10 tonight when her vitals were taken. Her oxygen reading was low (89). With the oxygen started again, the level went up to 91, and we were told it would probably go up higher in a little while.
At 7:10 p.m. BP was 166/76 and Temp. was 100.4.
Her daughter, Lisa, will spend the night with her tonight.
Her night nurse tonight is Joe. He says he'll be looking in on her throughout the night.
Sally may be going to the HealthSouth rehab facility this coming Monday to help with her walking. Earlier today she walked from her chair to the door and back with a walker. Right after that, the physical therapist came in to help her walk some more. That time she was only able to walk a few more steps. She also walked from her chair to the bathroom with the help of 3 people.
Diane, the Diabetic Educator, came by and told Lisa & Karen that all caregivers must learn to give insulin injections. Sally will need them once a day, in the morning, at the same time every day. The injections will be given in the stomach. One day for one side and the next day, on the other side of the stomach.
Sally's case worker, Regina, came by and said that someone from rehab would be coming by....then later, Sheila, from HealthSouth came and talked a little about rehab. She mentioned that the visiting hours will be restricted while in rehab.
Thursday, November 27, 2008
Thanksgiving Day
Sally's had a good Thanksgiving Day today. We (Conrad & Rita) are filling in for Knox to try to post significant events as they occur regarding Sally's progress.
7:00 a.m. today - Dr. Newton's assistant said everything looks good. Sally does not have an IV because of a fear of swelling. The family was told to only give Sally something to drink if she asks for it.
The kidney doctor came by. He also noted that everything looks good. He says they will continue with antibiotics because the kidney stone is infected, so they will continue with a low dose of antibiotics probably until the stone is removed.
8:10 a.m. - Breathing treatment. She did it on her own and took the entire treatment.
12:25p.m. - For lunch she had a couple of bites of mashed potatoes, a bite of turkey, 1 green bean, and one bite of pumpkin pie.
Dr. Swearingen - pulmonary came by. Says lungs sound good and chest xray looks good.
3:00 p.m. - BP 169/76
3:45 p.m. - Breathing Treatment: This time she had to use the mask for the treatment because of low energy level.
Sally has been very thirsty. She drank a whole pitcher of water and a couple of glasses of tea. The nurse said to start giving Sally ice because she was drinking too much water.
7:30 p.m. - BP 161/78
8:30 p.m. - Sally told the nurse she was getting sore from sitting so much. The charge nurse decided it was time to move from chair to the bed for the night. Sally was then able to walk a few steps to the bed. She's had a busy day, with lots of visitors. Will post more soon.
7:00 a.m. today - Dr. Newton's assistant said everything looks good. Sally does not have an IV because of a fear of swelling. The family was told to only give Sally something to drink if she asks for it.
The kidney doctor came by. He also noted that everything looks good. He says they will continue with antibiotics because the kidney stone is infected, so they will continue with a low dose of antibiotics probably until the stone is removed.
8:10 a.m. - Breathing treatment. She did it on her own and took the entire treatment.
12:25p.m. - For lunch she had a couple of bites of mashed potatoes, a bite of turkey, 1 green bean, and one bite of pumpkin pie.
Dr. Swearingen - pulmonary came by. Says lungs sound good and chest xray looks good.
3:00 p.m. - BP 169/76
3:45 p.m. - Breathing Treatment: This time she had to use the mask for the treatment because of low energy level.
Sally has been very thirsty. She drank a whole pitcher of water and a couple of glasses of tea. The nurse said to start giving Sally ice because she was drinking too much water.
7:30 p.m. - BP 161/78
8:30 p.m. - Sally told the nurse she was getting sore from sitting so much. The charge nurse decided it was time to move from chair to the bed for the night. Sally was then able to walk a few steps to the bed. She's had a busy day, with lots of visitors. Will post more soon.
Wednesday, November 26, 2008
Wednesday 8:46 PM
Sally's sleeping now. She's still quite groggy and she prefers sleeping in the chair. The nurse, John says many heart surgery patients prefer sleeping sitting up in the chair rather than in the bed.
It's home to San Antonio for me tomorrow for a few days.
Happy Thanksgiving!
Knox
Wednesday 11/26 4:18 PM
Sally is out of the ICU! She's still a little groggy, but very responsive! She's in Room 654.
She'll start her aggressive walking regimen tomorrow.
What a trip!
She'll start her aggressive walking regimen tomorrow.
What a trip!
Tuesday, November 25, 2008
Tuesday 11/25 9:30 PM
Wow, what a day! We saw Sally and she was able to move her eyes and hands a little bit. The nurse said she's breathing on her own and that they will probably remove the intubation tube this evening as soon as she can raise her head. She's making terrific progress!
An gentleman from an organization called Mended Hearts came this afternoon and brought a large red heart-shaped stuffed pillow for Sally to use to press against her chest when she has to cough or sneeze. The organization consists of people who have had open-heart surgery who band together to encourage one another and patients who are experiencing this for the first time. They have regular monthly meetings and they invited Sally to join them. Great idea!
Nurses and Techs from other floors who have ministered to her in the last few days keep coming by to check on her. Everybody should have a chance to see how many people love them and care for them the way Sally has seen demonstrated these past few days.
Sally was in a little pain when we left her so they gave her something and we trust she'll have a good night.
An gentleman from an organization called Mended Hearts came this afternoon and brought a large red heart-shaped stuffed pillow for Sally to use to press against her chest when she has to cough or sneeze. The organization consists of people who have had open-heart surgery who band together to encourage one another and patients who are experiencing this for the first time. They have regular monthly meetings and they invited Sally to join them. Great idea!
Nurses and Techs from other floors who have ministered to her in the last few days keep coming by to check on her. Everybody should have a chance to see how many people love them and care for them the way Sally has seen demonstrated these past few days.
Sally was in a little pain when we left her so they gave her something and we trust she'll have a good night.
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