Mom had a pretty restless night. She had several bouts of nausea. Yesterday around 2pm they placed the Fentanyl patch. Somewhere between then and about 7pm we noticed that her IV had wet bad so as a result, she wasn't getting the Morphine IV like we had thought. About an hour or two after her IV was replaced she started with the nausea. She received 3 doses of Zofran overnight that seemed to help. Dr. Seligson's nurse practitioner, Jo came in and we had the revelation about the combined effect of the two meds. She decided that the Fentanyl patch that Dr. Salamat ordered was unnecessary since she was having adequate pain relief from the Morphine PCA and was the culprit behind her nausea so she removed it on the spot.
She did do much better with her coughing. They almost sounded normal. She was very pleased with herself and was even bragging about it to Dr. Seligson this morning.
Her O2 sats are fine, running at 95-98% even while up in the chair. Sometime overnight they decreased her oxygen to 3liters. This is an improvement from the 6liters she was on last night. She, however, is extremely tired today, only waking to us nudging her telling her to wake up.
Since then Dr. Salamat came to round on Mom and told us (with her"best bedside manner") that according to this morning's chest x-ray that the lower remaining portion of Mom's right lung has collapsed. Dr. Salamat thinks that this is possibly due to a mucous plug in that portion of the lung. She ordered blood gasses and a repeat chest x-ray. Depending on those results we will know if Mom has to undergo another bronchoscopy to remove the plug in an attempt to help "reinfalte" that area. We will know the results in about an hour. Please pray for her. She needs as much help as she can get to get over this hurdle.
I will update this again once we know more.
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