12.14.17 Wound VAC22

Aimee had the nasal tube extended yesterday afternoon to make it an NJ tube. All went well and she is increasing by 5mls every 6 hours, currently at 15mls an hour. We have switched her meds over to the j tube for now too. She is gagging and coughing on the tube since it runs down her throat and we are nervous that she will lose her meds if they’re put in her stomach. The only distress she has shown so far with using the new tube is when we gave her several meds last night for the first time and the irritation from the tube itself. 

Next up on the agenda is a big wound VAC change this morning at 10:30. Her surgeon, the ortho team, and the medical team are all planning to be here to look at the current wound status. The surgeon is hoping to make a decision about closing the wound based off of the progress it has made over this past 16 days since the last clean out/wound VAC placement. Potentially we will have the plastic surgeon who assisted with that procedure attend the dressing change on Monday to help decide the best course of action. 

Overall Aimee had a calm night with only a couple disturbances. Her and I did get sprayed with a syringe of blood this morning at 4:30 with her TPN levels blood draw. Her weighted blanket took the bulk of the blow sadly. Hopefully that will wash out okay since she does not sleep well without it.

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