Me that is. Charlie did not behave last night at all. He got all worked up while Aunt Erin was here then when I got back to the hospital he vomited/spit up yellowish sputum (the nurses think it may have been stomach acid) twice. So I held him in the chair to keep his head up and decrease the risk of aspiration. He calmed down with the patented “Jeri Sterling bum pat” and fell asleep for 1 ½ hours while I rocked him. He was mad throughout the night except between 2-4 and from 6-8. His feeds have been on and off all night depending on how much residual is measured. If he is off feeds for more than 30 minutes, IV fluids are started to make up the difference. He has lost some weight (7 oz) so they want to make sure he gets as many calories as possible.
Answers to previous questions= I asked a couple weeks ago about the lactobacillus and the resident said that he had been off of antibiotics long enough to regain the good bacteria in his stomach but it is well worth asking again. He is on erythromycin to help stomach emptying instead of Reglan because for some reason they don’t like to use Reglan in patients with brain injury.
Update: The on-call doctor just came in and is concerned about not tolerating his feeds. She did not hear any bowel sounds so she has stopped his feeds and ordered IV fluids. I vented his tube and pulled out all the residual (35cc) food in his stomach because his bowels aren’t currently working. We went down for a stomach X-ray to check for bowel blockage and it came back normal except for a lot of constipation. So the plan is to get a new IV (the one in his left foot hurts him anytime fluid is put through it), give him fluids until he poops then start pedialite for the rest of the day. I’m glad to have some sort of explanation to his fussiness although he had diarrhea yesterday morning so how does a kid switch that fast.