BM Full Stat Day:

A.M. Blood Glucose:     Time:  1307     Reading:  132	A.M. Blood Pressure:     Time:  1308     BP:  149/75     Pulse:  81
AM 60" Dig Temp:     Time:  1322     Reading:  98.1

P.M. Blood Glucose:     Time:  2046     Reading:  116

    Bowel Movement:  Occurred at 1715. Very good volume; very good consistency; easy elimination; very easy clean-up.
Medication Changes:

• 1st breathing treatment between 0850 and 0905, since she was up and I figured she could probably use it, considering that we skipped her 3rd treatment yesterday
• 4 oz prune juice before bed
• 3rd Day of 500 mg Levaquin course

    Dinner:  1/4 of a Streets of New York Pizza with double pepperoni (her favorite), onions, sun dried tomatoes and green olives, light on the cheese, heavy on the sauce; refused offer of dessert. Sleep:

• Up briefly at 0845 to go to the bathroom and rearrange self
• Back down at 0930
• Awake at 1300
• Down for nap at 1730
• Up from nap at 2030
• Down for night at 0100
• Awake 9.75 hours

Partial Stat Day:

A.M. Blood Glucose:     Time:  1419     Reading:  171	A.M. Blood Pressure:     Time:  Not taken
A.M. 60" Dig Temp:     Time:  1440     Reading:  97.9

P.M. Blood Glucose:     Time:  2052     Reading:  104

Medication Changes:

• 2nd day of 10-day course of Levaquin 500 mg 1/day
• Skipped 3rd breathing treatment (with some reservation) because she wasn't up long enough to take the third. Because she was so tired she was nodding off in her rocker, I decided not to try to keep her up any longer to get the breathing treatment in.

    Dinner:Croissant, sausage, egg & cheese sandwiches with 1 scoop each of lemon sorbet and wild berry gelato for dessert.
    Miscellaneous Notes:  It seems that the diagnosis of pneumonia was probably correct. Her thick tongue had reversed itself by "morning". Her strength is back, probably as it was before but I didn't want to take any chances so we used the wheel chair all day. Transfers were easy. More is reported at the current movement journal. She is definitely feeling better. The feet edema remains but is slowly reversing itself.
Sleep:

• Up at 1400
• Down for nap at 1745
• Up from nap at 2045
• Down for night at 0030
• Awake 7.5 hours

BM Partial Stat Day:

A.M. Blood Glucose:     Time:  1321     Reading:  156	A.M. Blood Pressure:     Time:  Not taken
PM 60" Dig Temp:     Time:  1515     Reading:  98.9

P.M. Blood Glucose:     Time:  2008     Reading:  162

Medication Changes:

• 500 mg Levaquin added tonight for a 10 day course as a preemptive prescription for what is probably pneumonia. Taken at 2000.
• 4 oz prune juice before bed

    Bowel Movement:  Occurred during bathing. Fairly good volume; fairly good consistency although still packed into one large turd; easy elimination; easy clean-up.
    Dinner:  Carl's Jr Guacamole Bacon Burger and 1 order onion rings; dessert was a scoop, each, of lemon sorbet and wild berry gelato.
Sleep:

Miscellaneous Notes:

• Today was not a good day for my mother. Throughout the day her feet and leg edema continued, although much less than before the furosemide. Her weakness and inability to use her legs as usual continued. She was unusually tired. Around 1430, as my mother was completing her breakfast, I called Hospice to report all these symptoms, as they were developing at an alarming rate and not subsiding as I felt they should. I reported them as a reference point, more than anything else. As the conversation ended, the Hospice RN to whom I spoke asked that I take her temperature and call her again if it was over 99.0. It wasn't, although just barely under, so I didn't call.
  An hour or so later, though, Mom began to develop "tongue thickening", thus having a little trouble pronouncing her words. About this time I decided to call Hospice again to add this to the list of symptoms, just in case. The RN to whom I'd spoken has left to go on an "eval", but the receptionist promised to pass this information along.
  After an extended conversation in two parts which I will detail over at the main journals, it was decided between me and the Hospice RN on call to put Mom on a preemptive course of antibiotics for what was probably developing pneumonia.
  By the time Mom went to bed the antibiotics seemed to be kicking in; whe was feeling better and looking better, a little less weak in the legs, was able to transfer with a bit less difficulty.

Sleep:

• Awake at 1300
• Down for nap at 1600
• Up from nap at 2000
• Down for night at 0100
• Awake 8 hours

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

No Stat Day:

Medication Changes:

• No acetaminophen today; her choice.
• 4 oz prune juice before retiring.

    Dinner:  Sausage and scrambled eggs with added chopped green onions, poblano and Anaheim chilis; 1 slice lemon meringue pie.
Sleep:

• Awake at 1500
• Down for nap at 2030
• Up from nap at 2130
• Down for the night at 0015
• Awake for 8.25 hours

BM Full Stat Day:

A.M. Blood Glucose:     Time:  1428     Reading:  140	A.M. Blood Pressure:     Time:  1426     BP:  153/75     Pulse:  76
AM 60" Dig Temp:     Time:  1441     Reading:  98.0

P.M. Blood Glucose:     Time:  2134     Reading:  132

    Bowel Movement:  Occurred just before retiring: Fairly good volume; good consistency although still rather large turds; easy elimination; easy clean-up.
Medication Changes:

• I took Mom off the acetaminophen today, almost completely. I think it's screwing around with other of her functions, she doesn't really want it anymore, doesn't think she needs it, and I think she's probably right. That having been said, we decided to give her 1 500 mg dose at dinner.

    Dinner:  Grilled cheese and pepperoni sandwich on sourdough bread with left over pickles from "Champagne Kick-Off" night; 1 slice lemon meringue pie for dessert
Sleep:

• Awakened at 1400
• Down for nap at 1945
• Up from nap at 2115
• Down for the night at 0100
• Awake 9.5 hours

Full Stat Day:

A.M. Blood Glucose:     Time:  1258     Reading:  155	A.M. Blood Pressure:     Time:  1256     BP:  148/78     Pulse:  83
AM 60" Dig Temp:     Time:  1313     Reading:  98.1

P.M. Blood Glucose:     Time:  2124     Reading:  163

Medication Changes:

• 500 mg acetaminophen at breakfast
• 500 mg acetaminophen before nap with toast with butter and cinnamon
• 500 mg acetaminophen with dinner

    Dinner:  Chicken Quesedilla, made as usual, with 1 slice lemon meringue pie for dessert.
    Miscellaneous Note:  I decided to try taking her BP again this "morning". It didn't bother her quite so much; she only winced once. This shows in her BP. I guess we're back on track with that.
Sleep:

• Awoke of own accord at 1245
• Down for nap at 1745
• Up from nap at 2115
• Down for night at 0200
• Awake 9.75 hours