Tyler was great the first part of the night. Oxygen levels were beautiful and required only 55% oxygen. He was comfortably sleeping and he just looked great. At midnight he started to grunt every few breaths again and his oxygen requirements started to SUCK. At the height of it, he was at 100% oxygen and still desatting. We finally had to threaten C-pap nasal cannula and administering Tylenol in places best not mentioned. After an hour of chest PT (they use a soft bubbled lined face mask and pound really hard all over his back and chest to loosen up all the RSV gunk so he can cough it up), finally getting the Tylenol in by mouth and repositioning him so he couldn't curl up on his side he finally settled down and the rest of us could start breathing again. He moaned here and there for a few hours but they have been able to pull his oxygen back down to 70%.
The current theory is Tyler is in some pain. You know that kind of pain you have after coughing for 2 or 3 days, muscles you never knew you owned make your chest tight and painful. When he starts to grunt, we think the pain is significant and it's affecting his oxygen. So the plan today is to keep him going on Tylenol and try to keep him comfortable and resting all day. Why Tylenol and not Motrin? He has no food in his stomach to protect against the Motrin. I've also asked them to check his ears just to rule out an ear infection or pain. He's never really had an ear infection before and with all this gunk and re-hydration it sounds like a good thing to rule out since he's also getting a fever while doing this.
He's napping and I'm going to lay down again.
No comments:
Post a Comment