I wasn't here on the day shift but it looks like no one posted todays updates probably because there isn't much to report. I got here a couple hours ago and Rob who was updated from grandma Kathi said he has been really fussy for a while. He is sweating like a mad man again and moaning so I tried holding him upright for a half hour but it didn't make much of a difference. Dr. Such Neibar has change his clonadine orders to every 4 hours if needed so we don't have to try to wake him up (so his BP is higher) just to give him a medication that is supposed to help put him to sleep. We are going to talk tomorrow about adjusting some of the goals for when we go home. I'll update you tomorrow after I talk to her. Because he has been storming/sweating so much he totally stinks. I think I'm going to give him a bath soon since he is already upset. The nurse gave his clonadine 45 min late (not because he was doing well, just because she has been busy with other patients). Now 1 1/2 hours later still no change in his agitation so she checked his residuals and he has 65cc in his stomach. Per orders she is stopping her feeds for 30 min to allow time for digestion. He did have a diaper blow out earlier this evening so he couldn't be too backed up.
Addendum: The nurse stopped his feeds at 10:15 and then an hour later the tech came in and vented his tube and checked residuals again and it was 30cc. We are going to wait 30-60 more min. before starting him up again because we still feel that it is a little too much. One hour after stopping the feeds (11:15) he calmed down and is now asleep with his legs bent.:) It s such a welcome sight after being so upset for >3 hours. If this didn't work we were going to resort to Ativan even though we are supposed to try not to use it anymore. Now I just hope it doesn't interfere with his midnight clonadine dose.