Weaning off sedation can be a gruiling process, and its trying for Ajay. Although not too sick, meds inside a body without food can be difficult. With all the secretions, suctioning has become quite the chore for the nurses, because it causes lots of vomiting. He's also had loose stools, another sign of withdrawal, but doing better this am. He had started PT on Tuesday and actually stood with Max asst of 2, just to start bearing weight again. Although extremely weak, he tolerated a step and then asked to stop.
His treatments on the CPAP are good, then bad, then good again...today's xray showed improvement but seems to quickly disapate. He is not strong enough to maintain full lung function or withhold air within the lung for more than a few hours. (It quickly deflates)With continued use of treatments, we are hopeful that he will be able to breathe more efficiently and without distress.
Goals for the next few weeks are to progress as tolerated in PT, increase lung function, move towards removing PIC line out as well as feeding tube later as his lung heals, and continue RT to break up and remove secretions.