Let me begin tonight's post with a huge sigh of relief and a thankful prayer for wonderful nurses and a great day. Today Jackson had his favorite nurse, Juliana, back and I swear, he knows when she's there! He had a great day. He had his normal desats and highsats but he ended the day better than when he began it! He seemed happy most of the day (he is even starting to smile a bit and I even caught him trying to suck on his thumb!) and even though he struggled with progressing to high flow 3 he did well and is still on it!!
When I talked to the doctor today, she said that his white blood cell count came back a little lower than normal for Jackson even though it wasn't outside of the normal range. For that reason, she decided to run some more tests to determine whether or not he has a urinary tract infection. She said that if he does, he seems to be tolerating it well and she doesn't feel he needs to be put on antibiotics immediately because he isn't showing that he's sick enough for it. She wants to run these tests just to be sure he does or does not have one and then she'll treat from there. I watched three different nurses try to get a catheter in him, but they were sadly unable to. The night team is going to try again tonight. They need to put a catheter in just to get a sterile urine sample...it won't have to stay in. Amazingly, Jackson tolerated the procedure very well and even high stated through parts of it! After the second trial run, he did have a brady (drop in heart rate) but after some stimulation he came back up. He just wanted to let us know he was mad and so over all the fuss.
Ryan and I stayed the afternoon with Jackson and met his night nurse for the next few nights. I really like her and I'm very happy she'll be caring for Jackson for awhile.
Today, overall, was a good day. I think having Juliana around really helped calm me down and gave me piece of mind. After the last week of ups and downs, it was so relaxing to just be able to love on Jackson and completely trust that he had a wonderful nurse caring for him that knew him ("that's just Jackson being Jackson!") and wanted to help us reach our goals together! I really needed that and I'm sure he did too!!
Today's Stats:
Weight: 3 pounds 13 ounces!!!!
Respiratory: 29-38 percent oxygen throughout the day. Now, he seems to have become adjusted to his HIGH FLOW 3 and is now at 30 percent with few desats. He is not breathing fast and his respiratory rate was 52 when the night nurse last checked.
Feeds: Full feeds (27 cc every three hours)
Goals:
1. Stay under 30 percent oxygen on High Flow 3.
2. Try to wean down to High Flow 2.
3. Keep on gaining weight!
4. Get urine sample for culture and hopefully not have an infection! If we do have one, get it treated quickly and stay healthy!
All of the cats are doing well. Hannah, Mario, and Miss Brooks are currently cuddled up with Ryan on the couch (we've been watching State of Play) while Amie Sue is hiding out in the cat condo! I'll post a picture of that later tonight!
With love,
Anna
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