12.12.17 Wound VAC20

Tough couple days for Aimee. She was distressed most of yesterday, except when her pedialyte was stopped for a 3 hour period. We restarted her pedialyte and through last night she was awake every hour moaning, flailing her arms, and uncomfortable. This morning we turned it off again and she calmed down and became happy. She just isn’t happy or comfortable when it is running. Her stomach isn’t responding as it should even with the medication, though it did help to a point. 

So this afternoon the nurses placed an ND tube through her nose down past the stomach into the duodenum. First try went to her lungs and she turned pretty blue. :( Second try went into her stomach. She was naturally very upset. She had to spend an hour on her right side while the weighted tube worked its way through the exit of her stomach. She doesn’t breath well on that side and ended up choking and then vomiting. X-ray came and noted that the tube was not in far enough. After a second placement attempt and another x-ray to confirm, the tube is in enough. She will start a slow 5mls of pedialyte through the ND tube overnight. 

Overall such a difficult afternoon and evening. She ended up getting a bloody nose during her cecostomy flush, having a quite high heart rate, and needing more valium. 

Praying that this process works and does not cause her the same or more discomfort.