Mikaila's feeds were bumped up to 38 mls every 3 hours. She took the increased amount by bottle at each of her feeds. In fact, Nurse Amy was so confident in Mikaila's ability too master the bottle that she took out her feeding tube. She has now taken 13 consecutive bottles.
Mary Jane, Mikaila's nurse practitioner, decided it was time for another room air trial and unfortunately it didn't go well. Mikaila began to de-sat almost immediately. When bumped back to her .03 liters of oxygen, Mikaila quickly bounced back into form. It appears she isn't ready to free herself from this final entanglement.
She has now shown evidence of prowess in all of the areas that drive the discharge decision; she has no trouble maintaining her temp and she has been taking all of her feeds without the aid of a feeding tube and pump. If she continues along this course her team will probably send Mikaila home within a week or so. However, it is very likely that she will be coming home on oxygen. Although this is far from ideal and certainly not the scenario we envisioned, if she is meant to go home with supplemental oxygen then we are on board. We just want her to come home.
She will be weighed at 11 so if I am up I will update.
Tuesday, May 27, 2008
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