12.11.17 Wound VAC19

Had a wound VAC dressing change this morning. Aimee has been super agitated since about 4am, so we gave her valium ahead of time. This helped, but she still required a lot of comforting and pressure to make it through. 

The wound itself is doing really well. It has definitely begun to fill in and the flesh is a good red/pink color. It still measures 10cm long, but is only 3 cm wide and 2 cm deep now. 

We have pushed her ahead to 30mls an hour of pedialyte, but she isn’t doing really well with it at the moment. We talked with the team this morning about the next steps. We want to give her a chance to take her feeds, but if she just isn’t making progress despite these motolity meds, we needed to consider the other options. We don’t want to have the central/PICC line in any longer than we have to have it because of the added risks. One possibility is trying out giving nutrition past her stomach into the beginning of her small intestine. If she does better with that we could look at getting her a j-tube. I’ll add more details about that later if we go that route, because we are still hopeful that she may continue to make progress through her g-tube into her stomach. 

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