Sunday, September 12, 2010

Sunday, September 12, 2010 10:05 AM, CDT

Well as we suspected the fever from the other night was most likely caused by an infection, the culture they took from Elizabeth's trach was positive for MRSA (which she also tested positive for when she spiked a fever after her Gtube surgery around the site). She has already been on anitibiotics but they will now start another stronger one to help. And now they Doctors/Nurses have to be on contact precautions where they wear gloves/gowns anytime they touch her. We are still waiting on the results of her blood cultures to see if that showed anything.
She had one "spell" last night where her oxgen saturations dropped and they had to increase her ventilator settings. This morning the nurse who had her yesterday came in and said she was concerned that the trach looked like it was coming out. ENT came by and of course it was out a little, so they had to push it back in and then put a scope down it to check placement and an xray to be sure it was in the correct place. So we are hoping that the placement of the trach was what caused her requirements on the vent to go up last night and they will be able to wean her more today.
Tomorrow they will change her trach out and put her custom longer trach in which they also hope will help with getting the ventilator settings down as well, the trach she has now seems to be a little shorter than what she needs.
Lets hope for an uneventful day and that she continues to rest and be stable. But hopeful that tomorrow will be a little better with the new trach and get her on the road to being able to wake up and come off of the ventilator.

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