Mom's Daily Tests & Meds - Current

A continuation of Mom's Daily Tests & Meds

Wednesday, September 24, 2008

Almost Full Stat Day:

A.M. Blood Glucose:
    Time:  1156
    Reading:  127
A.M. Blood Pressure:
    Time:  1153
    BP:  171/82
    Pulse:  91
Hospice RN BP:
    Time:  1315
    Reading:  146/60
 

P.M. Blood Glucose:
    Time:  1943
    Reading:  168
 

Medication Changes:
  • Administered 500 mg acetaminophen with breakfast to ward off any possible knee or back inflammation from her "cleaning out the drawers" episode this morning
  • 2.5 mg metaclopramide before dinner because she's showing many of the signs of experiencing some acute something-'er-other: Feet and leg edema (very pronounced, for her, this evening); severe leaning to the right; mental haziness which translates, as well, to difficulty finding words; more difficulty than usual supporting herself on her legs; significant right eye edema and some left eye edema. I'm not sure what she's experiencing, yet, and, if it passes without any more emergent episodes, I may not know, but, just in case, I figured, when she's in this state, although her appetite is rarely affected, it's not uncommon for her to vomit later in the evening. I wanted to nip that possibility in the bud.
  • Gave her slightly less than 20 mg furosemide before she went to bed, because her leg and feet edema is unusual, for her, and I figured, it would be a good idea to get her to shed that water NOW. I usually give her 10 mg, but that is for episodes less severe and that have come on less quickly than this. The reason I say, "slightly less than 20 mg" is because I gave her two halves that weren't quite half, on purpose.
    Miscellaneous BP Note:  Obviously, it's still tricky, taking her BP on her left arm, although I wasn't sure of this until the Hospice RN took it with the standard bicep cuff on her right arm and got a significantly lower and much more normal BP for her. So, even though her arm is improving, unless I feel as though there is some emergent reason for me to take it, I'm going to drop this stat for a few more days.
    Dinner:  1/4 dark meat roast chicken; about 1/2 cup Brussels sprouts with Greek Feta dressing; about 3/4 cup Uncle Ben's Original Recipe Long Grain & Wild Rice; for dessert, a scoop of lemon sorbet and wild berry gelato.
Sleep:
  • Awoke at 1130
  • Down for nap at 1530
  • Up from nap at 1930
  • In bed for night at 2345
  • Awake 8.25 hours

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