A Rather Uneventful Day

Today was thankfully rather uneventful.  Annie has still not shown any signs of improvement with the c-diff, but she was rather alert and happy most of the day, even giggling for quite a while this evening once Grandma and Grandpa got here. (I hope to post pictures in the morning.)

Last night Annie started receiving TPN through her new IV line.  They had to start an additional IV in her upper arm as well since TPN can't go through the same line as her lipids.  However, at one point in the night the IV in her wrist went bad and had to be pulled.  So they moved the TPN to her upper arm, and just have to stop it at certain points to give her the lipids and other medications.  They continue to monitor her temperature and as soon as it's been 48 hours since she's had a fever they'll start a PICC line through which they can give her more concentrated TPN.  She hasn't had a fever today at all, so they have stopped the IV vancomycin and cefepime and started the vancomycin via g-tube again.  So by tomorrow night or Tuesday morning they might do the PICC line assuming her temps stay normal.

Annie's swelling has decreased slightly, but she's still pretty swollen.  They also increased her neocate feeding to 20cc/hr (up from 10cc/hr yesterday).  She threw up once this afternoon, but that might also have been due to lots of air in her tummy.  She's requiring venting every 6 hours and she always has a lot of air.

So today was rather encouraging.  Although there's still no improvement in diarrhea and her feeds are still incredibly slow, she was extremely happy today.  It's nice to know that she's starting to get calories, proteins, and lipids from the TPN, so hopefully that will increase her strength and decrease her swelling.  She did have another grand mal seizure today, so we'll continue to monitor seizures as well.  Thank you for everyone's love and concern.  We really do appreciate everyone's prayers on her behalf.  They are definitely felt.