Wednesday, April 8, 2009
He had his eye examination today. I was not present but the other mother said that he cried. His eye examination was not good this time, stage 2, zone 2 which means potential for blindness. This could be related to high oxygen saturation. I am beating myself up because the parameters for the alarm to sound off for oxygen saturation was 100-80 for a long time when actually he should be between 88-93%. I have asked nurses in the past why is it set like that? One response was, "we can't be here for every bing and bong or we would be in here constantly ". I have questioned several nurses however I was not pushy or assertive enough to have it changed for tighter monitoring. When the nurse said "we can't be here for every bing and bong" I should have said, "you are not going to be taking him and be dealing with a child who might be permanently blind because the nurse did not want to answer every alarm due to high oxygen levels. (High oxygen levels in premature babies damages the blood vessels of the eyes and can lead to blindness. They nurse could wean his oxygen level if he has high oxygen levels to prevent this from happening. He was stage 0 (very mild) two weeks ago. Also today the night shift respiratory therapist found him on 6 liters of oxygen, he should be on 2 liters. He is in an open crib and there was potential to wean him off high flow oxygen to regular oxygen in the morning. Given the 6 liter of oxygen error today the night nurse going to advise the doctors not to make this change. I did notice a strong air noise and wheeze, even had the nurse listen to him but I never asked "how many liters of oxygen is he on?". I feel like I should be there day and night to be his eyes and ears since errors happen. However I need to take care of myself too. Also on my drive home tonight the Jeep acted up, could not drive more than 40 miles per hour. It felt like it was going to stall and a light came on. I am not sure where to take it to be fixed over here. Thankfully I made it back to the Fisher House safe and sound. God is watching over me. Well I am waiting for my laundry to dry then off to bed. I was going to check out a mom's group at church however I need to deal with the Jeep instead.
Posted by Karen Goddard