Showing posts with label oxygen saturation monitor. Show all posts
Showing posts with label oxygen saturation monitor. Show all posts

Wednesday, January 1, 2014

A Special Purposed Sick Day

 
This picture sums up what we have been doing lately. A cold brought on a sinus infection, perforated ear drum, and a respiratory infection. Snot and coughing and wheezing, oh my! Here's what we do on a sick day:
 
-6:30 am: Jaycee's oxygen saturation monitor has alarmed a few times in the past half hour for dips into the upper 80s. It's time for a breathing treatment. I do it with an inhaler while she's asleep and put her on her vest. She wakes up momentarily then settles in for the 20 minute airway clearance therapy. Her monitor shows improvement in her oxygen now, which is good. I then do her ear drops, antibiotic, oral steroid, advair inhaler, nasal spray, and motrin. I do the ritual bed check once Jaycee is up. It's wet which means I have to wash all the bed sheets and give Jaycee a shower. 
 
-7:30: Jaycee is dressed now. I show her several options for breakfast. She picks chocolate yogurt but only eats a bite or two. I read my Bible while eating breakfast. Elijah is now awake. He does his morning routine and eats yogurt too. When they are both settled and quiet, I read them a chapter from Ezekiel for our daily reading.
 
-8:15-10:00: Jaycee is ready to start her day of doing as little as possible. She is wore out from her illness and is content to watch movie after movie. Elijah stays busy playing and checking in on Jaycee's movie. I do laundry, wash up medicine syringes, and other chores. I frequently check on Jaycee, looking for signs of change. I listen through the stethoscope or check her oxygen levels on the monitor. I see if she feels warm and take her temperature. Because she is nonverbal and has a high pain tolerance, if she lets me know something is wrong by crying, things are usually horribly bad by that point. So I know my checking could be perceived as neurotic, but it's a necessary evil when I'm trying to stay on top of Jaycee's illness to keep her out of the hospital. Depending on what the monitor or thermometer or my ears tell me, I can get myself worked up. I pray. It's not a very good prayer. It's more of a fear based prayer-Jesus, help her to get better and not go to the hospital- rather than a prayer full of scriptures or faith. I know my prayer isn't the greatest but it's all I can muster up right now.
 
-10:30: Jaycee gets a nebulizer treatment and another 20 minute vest session. She is mad that we are doing another vest. She pushes me away but allows me to put it on.
 
-11:30: It's lunch time! Elijah complains about what we're eating as usual. Jaycee, who is normally a big eater, doesn't touch her plate. I offer her a few more things. She indicates with signing that she'll eat soup. It's true; she ate it.
 
-1:00: Jaycee wants to lay down with me in my bed. She signs "mama bed." She lays down for awhile but doesn't sleep. Elijah bounces around the house and watches a cars movie. I enjoy this down time. I'm exhausted from playing the role of nurse. I'm well aware of the time left before the next treatment.
 
-2:30: Jaycee gets another round of my checks before getting another nebulizer treatment and 20 minute vest session. Shortly afterwards, I discover she has wet her bed. For the second time today, I'm washing all the bedding and showering her. I'm frustrated. I pray a simple prayer. Jesus, help me get through these illnesses. Let me have a good attitude while I'm cleaning up mess after mess because my attitude right now is awful.
 
-4:15: I start fixing dinner. While that's going on, I get her bi-pap filled with water and ready for the night. I get all the night medicines drawn and set out. I have to attempt to work at my job tomorrow, so I get all my stuff prepped for the next day too.
 
-5:15: With my husband home, we sit down to eat dinner. Jaycee doesn't want to come to the table at first. As soon as she sits down, she throws up in her dinner plate. Our family meal time won't happen tonight. My husband and I are tired and mentally drained but duty calls. Jason cleans up the mess on Jaycee. I take care of the mess in the kitchen. She's running a fever, so medicine is started. Another load of laundry is going again. Poor Elijah is eating dinner by himself. He seems content. I try to check in with him once in awhile so he doesn't feel neglected. By the time we are finished with Jaycee, Elijah is done eating and ready for his bath.
 
-6:00: Jason and I eat our warmed up meal, not that either one of us has an appetite now.
 
-6:30: Night medicines are given. It's time for another nebulizer and vest treatment. Jason and I squeeze our baths in and get in a few minutes of conversation.
 
-7:30: Jaycee is exhausted and ready for bed. We pray for her to have a good night of breathing. We hook her up to her oxygen saturation monitor. She alarms as soon as she falls asleep. I put her bi-pap on and her numbers go back up.
 
-8:00: Elijah is ready for bed. We say our bedtime prayers and go through some scriptures he has memorized. Tonight it's Psalm 150:6 and Genesis 1:1.
 
-10:30: I'm still awake because Jaycee is ready for her last breathing treatment and vest session of the day. I take her off her bi-pap briefly in order to do her inhaler and wrestle the vest on her while she's trying to sleep. She's done this before, so it goes smoothly.
 
-11:00: With everything done, I can now go to bed. I'm tired but the stress of the day makes it difficult for me to fall asleep quickly. I pray for peace, strength, and help. In a short time, I'm sleeping. My sleep will be interrupted periodically tonight from alarms. I'll sleepily walk to Jaycee's room and try to see why Jaycee's oxygen dipped down. I'll reposition her or the bi-pap mask. Fortunately, these things do the trick tonight and no oxygen or trip to the emergency room is needed.
 
My special purposed sick day has ended. I can only hope that tomorrow is better.

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Wednesday, August 28, 2013

The Monitor Effect

The last few weeks I have spent too much time staring at a screen. Not a fun screen, like a television or a computer. It's a necessary but annoying screen. It is the dreaded......oxygen saturation monitor.

If you have been reading my blog, you know Jaycee's been battling respiratory issues for literally 2 months now. She already has obstructive sleep apnea, which is treated with a bi-pap, and has asthma, so any hiccup with her respiratory system can turn into something serious or something that lingers on and on. We've had 3 trips to the hospital in the past 2 months. There are times in her life when things are crazy like this. But, she did have 10 healthy, hospital free months prior to all of this.

Back to the monitor, I have a love/hate relationship with this monitor. We got it a few years ago when she was having so many breathing issues. It was hard to be at home with her wheezing and deciding on if she was truly bad or if she just sounded bad. The oxygen saturation monitor has helped us easily decide whether or not we need to take her to the hospital. Under 90% (the red number), she needs oxygen and we need to get to the hospital. For that part, I'm thankful to have the monitor.

In 2011, this monitor probably saved her life. Jaycee was acting weird and we didn't know what was wrong. I hooked her up to the monitor just to help try to figure out what was wrong. Her heart rate (the green number) which is set to alarm when it hits 140, read 220! This monitor caught her tachycardia and we immediately rushed her to the ER where she was transported by helicopter to a children's hospital.

Sometimes, the monitor drives me insane though. If I see 91 or 92% during the day, it starts to worry me. I see that she's getting close to the 90% cutoff and I get nervous. Sometimes, a spot check to see where her oxygen level is leads to me checking her too often because I'm nervous.

Jaycee has been having trouble breathing at night lately, so she wears this monitor while she's asleep. Typically, the monitor is in her room next to a baby monitor. The receiver is in our bedroom. Throughout the night I'll hear the beeping. Sometimes, she alarms because the sensor isn't reading. Sometimes, it alarms because Jaycee has thrown the bi-pap off and her levels have dropped to 89%. I hate the 89% alarms when everything is fine yet she's dropped for an unknown reason. Fortunately, repositioning usually helps the number to go up and all is well.

Last weekend, we spent a couple of nights in a hotel. By the time, I lugged up the monitor, bi-pap, and meds, I was rethinking the trip. Since our beds were close together, her monitor was placed on my nightstand. Bad idea! Jaycee had a rough night. She started out at 90% with her bi-pap on. Not good... I just kept staring at the monitor wondering if she'd worked her way back up to the upper 90s or if she would dip lower and we'd have to go the hospital. It's hard to fall asleep when 90% is staring me in the face. I wanted to shove my husband who was peacefully snoring next to me knowing what her oxygen level was. Maybe his 13 hour shift at work helped him. Maybe that's what I needed!

Actually, what I need to do is to have faith and calm down. Monitoring her to keep her healthy is great. But if the monitoring is causing me stress (and it is), then it's not a good thing. I need to be able to separate the two and not get so emotional when things look shaky. Fear causes me to assume the worst will happen. Why can't I assume she'll get better and her numbers will improve? Why does my mind instantly go to the negative? That's the million dollar question. And that's what I'm trying to work on right now.
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