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Wednesday, December 03, 2008

Withdrawal?

Zoe's fever is down, but some of the folks here think it's down because she was given sedatives again. So she might have become a little dependent on the sedatives, which would cause the fever once they are removed from her system.

The nurse this am says the fever, in her opinion, was caused by agitation, not infection, because it's down now that she went back on sedatives. We're waiting cultures to confirm.

Zoe is actually trying to cough through the tube, which is a great sign. So on we go.

3 comments:

  1. Praying that this is just Zoe's way of adjusting to all that her little body has been through this past 8 days. She is tough and delicate at the same time. I am really thankful they are continuing to do cultures before doing anything to further agitation. If I were her, I would be so agitated too. I sure am praying here for her and for you.

    Laurie in Ca.

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  2. Anonymous10:01 AM

    Hi, Zoe. We are prayyyyyyyyyyying for you and for Mommy and Daddy and for the entire Team Batiansila. Thank goodness the Lord is leading your team!!! We are so blessed to be Christians and know Him as God.

    Lots of love from Jen, Jeremy & Jacob

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  3. My daughter runs a fever easily when she gets stressed, too. In the NICU, she had a surgery cancelled when she spiked to over 102, and it wasn't till she did a repeat performance the day the surgery was rescheduled, that the nurse caring for her made the connection. She was probably aggitated over being NPO for surgery, and was licking and licking, so the nurse asked for Ativan, and when she calmed down, the temp came right down (and she was able to get her surgery). Once we got her home, we learned to aim a fan towards her when she gets upset ... we even did it while she was on the vent in the hospital, with a light blanket over her body, but her head exposed to the air. I wonder if that might help Zoe while she is there?

    Mallorie required a lot of sedation on the vent. She never has been able to stand things in her mouth/airway, and a tube taped to your face, with a vent attached blowing air into your lungs ... that's gotta be the worst kind of thing in your mouth/airway! Then when it came time to extubate her, it was difficult. They finally decided she was "just one of those kids" who needs a really, really slow tapering off the meds. And at any time when she showed she couldn't handle it, they stopped decreasing for awhile, to let her adjust. (We even went home with some doses of methadone & ativan to continue the tapering at home! We joked about being worried how we were gonna hook her up, if she proved to have a problem with the schedule!)

    Apparently, having a problem with weaning off those meds is something they see more than just once in awhile, so what's it hurt to slow the crash? ... why try to do it in just a couple of days?

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