Love those peaceful Saturdays! Rudy has been very mellow today–probably because his night owl behavior was in full force last night. The docs had been weaning him off of his methadone so they decided to hold that for the day in case some of his fussiness during the day yesterday and last night was due to withdrawal. He’s on such a minor dose anyway at this point–we have plenty of time to get him off that while we work on the priority issues. I also think he’s just being fussy like babies are–nothing overly alarming as far as heart rate or saturations. What baby doesn’t go through phases of fitful sleep?
Speaking of the other issues, when it comes to breathing I think Rudy might just be showing off. Today’s order was for two 7-hr sprints and he was so relaxed as he came to the end of the first that the team decided to link the two together without a break, so he’s doing one big one of 14 hours. The team is hoping to get Rudy to a place where he’s on the vent only at night and, provided he keeps this up for a few more hours, he’s almost there.
We have good nutrition to thank for the course things are taking. The feeds are now at 15cc/hr and there’s been almost no fluid coing out of the JP drain (about 10cc over the last 24 hrs). As he’s done very well at this level for the past few days, the team decided to up the rate of increase to 1cc every 6 hours. It seems to be giving him lots of energy to breathe and probably also contributes to his fussiness. He’s not as lethargic and passive as he was a week ago. While he was frustrated last night, I was surprised at just how hard he could clench his fists. Up until now it was pretty easy to open them up, but that’s not the case–he’s got quite a grip.
His being active does make tending to him a bit more challenging, but I fully welcome it if it’s his way of telling us he’s sick of being in the hospital. Stay ornery, Rudy, we’ll fight our way out of here!!