Non-Stat Day:

Medication Changes:

• 0810: .125 mL morphine sulfate; her breaths per minute were at 24, I needed to run backed up errands and I wanted to make sure that we did not have a repeat of yesterday morning, when she was so breathless that she awakened and began experiencing the middle back pain that goes along with her lungs working too hard. When I returned from errand running at 10:50 she was breathing easily, her breaths per minute were 23, and she was sleeping comfortably.
• None of her regular medications were given. Her morhpine and acetaminophen doses are being recorded in hard copy morphine and tylenol logs.

Sleep:

• She slept most of the day. She was in bed all day. My guess is that she was awake for maybe five hours in all, between pain episodes, recovering from them and awakening for a regular morphine/tylenol cocktail that she received every 2-5 or so hours throughout the day from noon on