BM Stat Vacation:

    We took a vacation from stats, today. I just wasn't into poking and strapping (the blood pressure cuff) and shoving and holding (the thermometer).
    Bowel Movement:  Today's was clearly a follow-up to yesterday's and occurred during her bath. Fair volume; very good consistency; very easy elimination; very easy clean-up.
    Dinner:  My enhanced Mac 'n Cheese; Pomegranate/Blueberry Sherbert for dessert.

BM Full Stat Day:

A.M. Blood Glucose:     Time:  1315     Reading:  124	A.M. Blood Pressure:     Time:  1320     BP:  119/61     Pulse:  67
A.M. 60" Dig Temp:     Time:  1335     Reading:  98.5

P.M. Blood Glucose:     Time:  2040     Reading:  140

    Bowel Movement:  Occurred during bathing before Mom's breakfast. Very good volume; hard consistency; reportedly easy elimination but I wiped a bit of fresh blood from her anus; very easy clean-up.
Medication Changes:

• 325 mg acetaminophen at breakfast because of slightly high temp and a bit more morning stiffness than usual.
• 2 Tbl Phillip's Milk of Magnesia; although she had a bowel movement and reported it easy, the anal blood upon wiping and the hardness of her stool told me that she needs a little softening; and probably a little more cleaning out.
• Discovered Saturday "morning" that I had forgotten to give Mom her 15 mg lisinopril. Since we took a Stat Vacation Saturday, I have no idea how this affected her but, as she would say, she "lived".

    Dinner:  Taco Bell, her choice. She had a Burrito Supreme and a Crunchy Taco Supreme. No dessert, oddly, although I'm sure the carbs involved in Taco Bell food KO'd that possibility.

Full Stat Day:

A.M. Blood Glucose:     Time:  1334     Reading:  124	A.M. Blood Pressure:     Time:  1338     BP:  136/70     Pulse:  71
A.M. 60" Dig Temp:     Time:  1353     Reading:  97.5

P.M. Blood Glucose:     Time:  2016     Reading:  125

    Dinner:  Home made cheeseburger on an onion bun with dill pickle relish and jalapeno Jack cheese and home made pickled (without sugar) beets, about 3/4 cup.

Full Stat Day:

A.M. Blood Glucose:     Time:  1336     Reading:  126	A.M. Blood Pressure:     Time:  1348     BP:  133/64     Pulse:  67
A.M. 60" Dig Temp:     Time:  1352     Reading:  97.9

P.M. Blood Glucose:     Time:  2012     Reading:  187

    Medication Changes:  Gave her an extra glipizide at around 2300 because of her high BG reading before dinner and the contents of her dinner, below.
    Dinner:  Finished off the Potato Au Gratin with chopped ham, celery, onion, extra Vermont White Sharp Cheddar and Herbes de Provence. Then, she polished that off with the last of the Marie Callendar's lemon meringue pie.

BM Full Stat Day:

A.M. Blood Glucose:     Time:  1123     Reading:  105	A.M. Blood Pressure:     Time:  1121     BP:  130/70     Pulse:  65
A.M. 60" Dig Temp:     Time:  1132     Reading:  97.6

P.M. Blood Glucose:     Time:  1812     Reading:  131

    Bowel Movement:  Occurred at 1145. Good volume; good consistency; very easy elimination; easy clean-up.
    Medication Changes:  Stopped the Omeprazole. Will restart Pantaprazole on 8/13/08.
    Dinner:  The rest of yesterday's Chunkier-Than-It-Was-When-I-Bought-It-At-Safeway soup. Made bisquits with sundried tomatoes, minced onions and Herbes de Provence, split them, slathered them with Caesar salad dressing and made caraway and cracked pepper cheese sandwiches. Also had about 1.5 cups of chocolate ice cream with strawberry, caramel and chocolate topping.

Full Stat Day:

A.M. Blood Glucose:     Time:  0948     Reading:  164	A.M. Blood Pressure:     Time:  0950     BP:  133/82     Pulse:  103
A.M. 60" Dig Oral Temp:     Time:  0945     Reading:  98.8

P.M. Blood Glucose:     Time:  1702     Reading:  161

P.M. Blood Pressure:     Time:  1715     BP:  124/63     Pulse:  74

Medication Changes:

• Gave her 2.5 mg Metaclopramide because she had complained of nausea, which had awakened her, along with a diffuse complaint of her stomach (lower abdomen) feeling "bad"; not exactly pain but pressure. Later, forgot that she'd been nauseated. Lower abdominal "pressure" disappeared after bathing and getting her out to the living room with the wheel chair.
• Same thing happened in the evening when she awoke from her nap. Gave her prophylactic 2.5 mg Metaclopramide again before dinner.
• Although, after looking up side effects of omeprazole and discovering that "constipation" and "abdominal pain" (which my mother probably interprets as "abdominal pressure" since she has a high pain tolerance) are not uncommon, I gave her about 2.5 Tbl Phillip's Milk of Magnesia, even though she doesn't seem to be constipated according to her bowel movement schedule. I thought, if there is a back-up, this would move things along. If there isn't, it wouldn't hurt her.

    Miscellaneous Note:  She did eat some breakfast: A peppered boiled egg; two slices high fiber toast with Fleishmann's margarine and cinnamon; about 16 oz ginger tea. She also took all her meds. Frankly, I think the problem is the Prilosec. She's been on it for six days as of yesterday and has been burping a lot since the switch. I think it is not alleviating gas problems the way the Protonix was doing. I talked to the RN today about switching this med back not "non-Hospice meds" so that we can switch her back to the Protonix.
    Dinner:  A hefty bowl of Safeway's "Chunky Chicken Noodle Soup" with lots of added chicken and Costco's grated Lemon/Garlic/Pepper Salt seasoning. 1 slice of Marie Callendar's lemon meringue pie.

Full Stat Day:

A.M. Blood Glucose:     Time:  1345     Reading:  127	A.M. Blood Pressure:     Time:  1343     BP:  143/76     Pulse:  78
A.M. Dig Oral Temp:     Time:  1402     Reading:  98.1

P.M. Blood Glucose:     Time:  2037     Reading:  128

    Dinner:  Au gratin potato casserole with chopped ham, onions, celery and extra White Sharp Cheddar cheese; 1 slice Marie Callendar's lemon meringue pie.
Medication Changes:

• Gave her 325 mg acetaminophen at breakfast because her she had a low grade fever (for her) and she was complaining of stiffness