Monday, July 14th - Get Ready Tummy!

It has been a while since Kinley has had a blood gas test, but she got one this morning and everything (blood Ph, CO2 and O2 levels) looked great.

Since Kinley had a pretty restful day yesterday Dr. C is going to test her today. During rounds Dr. C placed an order to have Kinley's oxygen flow turned down from 1 liter per minute to 0.5 liters per minute. Also, Dr. C is having both the methadone and ativan dosages decreased by 10%. She will leave the erythromycin where it is since Kinley has not had a poopy diaper since yesterday right before evening shift change. And for the BIG change of the day, Kinley's feedings. As of this morning Kinley was still receiving 5 ccs per hour on a continual feed. Today it will be increased to 7 ccs per hour at 11:00 am and then increased again to 9 ccs per hour at 1:00 pm. Going forward, as long as Kinley's residuals are not green or greater than 20 ccs they will continue her feedings.

Kinley's oxygen flow has been at 0.5 liters per minute all morning and she has been keeping her blood oxygen saturation in the mid to low 90s. This is good. As long as she is regularly between 92% and 96% they are comfortable weaning her oxygen flow. Also, Kinley's continual feed is now officially at 7 ccs per hour. Katie, Kinley's day nurse, will check her residual at 1:00 pm when her feeding is increased again to 9 ccs per hour.