12.1.17 Wound VAC6

Some positive steps forward. We did get the new wound VAC machine delivered that will be for home use. The plan is for tomorrow to change over to that machine along with a dressing change. They will most likely give her some valium and maybe morphine to help her through that initial change. 

We are working up on her fluids through her g-tube and have made it halfway to that goal. No food yet. The dietician/nutrition team is consulting with her attending about doing IV nutrition until we can get her up on full feeds. They would like to keep her inpatient until she reaches that point this time. We obviously wouldn’t aim for her normal feeding routine, but would aim to have her get nutrition with continuous feeds like we were just before this surgery. 

The nutrient bloodwork did show low levels of vitamin c, zinc, and iron. They will plan to have her supplemented with those as well. 

Respiratory wise, Aimee’s lungs are more clear. She is still requiring extra oxygen support and we have not yet used our home bipap machine or settings. She is in a place where we would feel comfortable caring for her at home since we have all of the necessary machines already, but we do have to make sure she is safe to travel to home as well.