BM Full Stat Day:

AM Blood Glucose:     Time:  1343     Reading:  168	AM Blood Pressure:     Time:  1406     BP:  149/84     Pulse:  90
AM 60" Dig Temp:     Time:  1410     Reading:  97.6

PM Blood Glucose:     Time:  2115     Reading:  197

    Bowel Movement:Occurred after nap. Fairly good volume; good consistency, although the turd was, again, rather large; very easy elimination; easy clean-up.
Medication Changes:

• Upped bedtime lisinopril, again, from 15 mg to 20 mg
• Upped sitting O₂ from 4/lpm to 5/lpm through bedtime because her breathing was significantly more labored than usual and she was doing some dry hacking
• extra glipizide (10 mg) at dessert because BG was so high after napping
• 10 mg furosemide about 1 hour before bedtime in order to pull off torso water retention

    Miscellaneous Snack Note:  Had three squares of Ghiradelli chocolate at 1630 during a watching of the movie Chocolat; about half way through she popped up and said, "Do we have any chocolate in the house?" We did.
    Dinner:  Costco Chicken Florentine, steamed broccoli with Greek Feta Vinaigrette dressing
Sleep:

• Awake at 1330
• Down for nap at 1900
• Up from nap at 2100
• Down for night at 0145
• Awake 10.25 hours

Full Stat Day:

AM Blood Glucose:     Time:  1415     Reading:  139	AM Blood Pressure:     Time:  1418     BP:  156/80     Pulse:  85
AM 60" Dig Temp:     Time:  1431     Reading:  97.6

PM Blood Glucose:     Time:  2128     Reading:  157

Medication Changes:

• 4 oz prune juice before bed
• Increased her before-bed lisinopril from 15 mg to 20 mg

    Dinner:  Chicken Quesedilla
    Sleep:

• Awake at 1400
• Down for nap at 1845
• Up from nap at 2115
• Down for night at 0130
• Awake 9 hours

Curious Little Review

    I've been noticing, as I've been going through the archived part of these Dailies journals and combining posts to cut down on the number of pages, that exactly three years ago (I'm working through the fall of 2005, right now) Mom used to move her bowels practically every day and her heart rate was about 15-20 beats per minute less. Although I'm not surprised about the change in bowel movements, since she is eating significantly less roughage, now (Cobb salads, for instance, have disappeared from our menu because about a year and a half ago she started eating the meat, croutons and olives and leaving everything else), I was surprised about her heart rate. I ran both of these comparisons by our Hospice Nurse, who visited yesterday. He, of course, confirmed my guess about the bowel movements. When I told him about the heart rate difference, I wondered, aloud, if this could be due to the fact that I read, in a Medscape article, that Ipratroprium increases heart rate. He confirmed this but also said that both her lessening bowel movements and her elevated heart rate could also be because her heart is working harder, now, because her lungs aren't nearly as strong as they used to be; and, as well, her motility is probably less (this is true, even though her "motility" wasn't great three years ago) and her metabolism has slowed, of course. He concluded by saying, "I'm fine with it."
    Actually, so am I. I was just curious.

BM Full Stat Day:

AM Blood Glucose:     Time:  1431     Reading:  129	AM Blood Pressure:     Time:  1434     BP:  147/81     Pulse:  87
AM 60" Dig Temp:     Time:  1453     Reading:  97.6

PM Blood Glucose:     Time:  2145     Reading:  180

    Bowel Movement:  Occurred during bathing. Fair volume; good consistency; very easy elimination; easy clean-up.
    Miscellaneous Breakfast Note:  Instead of buttered, cinnamoned toast, had a Costco lemon sweet roll for breakfast.
    Dinner:  Taco Bell, including 1 Burrito Supreme and 1 Crunchy Taco Supreme; dessert, 1 slice Marie Callendar's lemon meringue pie
Sleep:

• Awake at 1415
• Down for nap at 1945
• Up from nap at 2145
• Down for night at 0130
• Awake 9.25 hours

Almost Full Stat Day:

AM Blood Glucose:     Time:  1152     Reading:  150	AM Blood Pressure:     Time:  1325     BP:  140/70     Pulse:  84
AM 60" Dig Temp:     Not taken

PM Blood Glucose:     Time:  2108     Reading:  73

Medication Change:

• 4 oz prune juice before bed
• extra (4th) breathing treatment at 0130 before bed

    Dinner:  Toasted tuna sandwiches on whole wheat sourdough bread with Doritos Taco flavored and Chipotle Ranch chips; Marie Callendar's lemon meringue pie for dessert.
Sleep:

• Awake at 1130
• Down for nap at 1630
• Up from nap at 2100
• Down for night at 0215
• Awake for 10.25 hours

Full Stat Day:

AM Blood Glucose:     Time:  1348     Reading:  170	AM Blood Pressure:     Time:  1344     BP:  156/79     Pulse:  83
AM 60" Dig Temp:     Time:  1405     Reading:  97.2

PM Blood Glucose:     Time:  1952     Reading:  163

Medication Changes:

• 325 mg acetaminophen before nap because Mom was feeling "achy and coldish"
• Skipped 3rd breathing treatment

    Dinner:Carl's Jr Bacon Guacamole burgers and onion rings.
Sleep:

• Awake at 1330
• Down for nap at 1630
• Up from nap at 1945
• Down for night at 0000
• Awake 7.25 hours

BM Half Stat Day:

AM Blood Glucose:     Time:  1448     Reading:  136	AM Blood Pressure:     Not taken
AM 60" Dig Temp:     Not taken

PM Blood Glucose:     Time:  2227     Reading:  140

    Medication Change:  4 oz prune juice before bed.
    Bowel Movement:  Occurred during bathing. Fair volume; very good consistency; very easy elimination; very easy clean-up.
    Miscellaneous Food Note:  Gave her a Ghiradelli chocolate mint square at 1840; she mentioned that she felt like "a little something sweet; not much."     Dinner:  Croissant, egg, sausage and cheese sandwich.
Sleep:

• Awoke at 1430
• Down for nap at 2015
• Up from nap at 2215
• Down for night at 0145
• Awake 9.25 hours

BM Half Stat Day

AM Blood Glucose:     Time:  1342     Reading:  134	AM Blood Pressure:     Not taken
AM 60" Dig Temp:     Not taken

PM Blood Glucose:     Time:  2146     Reading:  141

Medication Changes:

• 500 mg acetaminophen given at 1700 because of back pain
• Skipped 2nd breathing treatment; forgot about it

    Bowel Movement:  Occurred during bathing. Fairly Good volume; very good consistency; very easy elimination; very easy clean-up.
    Dinner:  1/4 dark meat roast chicken; about 1 cup steamed Brussels Sprouts; 1 slice Coco's Caramel Turtle pie.
Sleep:

• Awoke at 1330
• Down for nap at 1900
• Up from nap at 2130
• Down for night at 0130
• Awake 9.5 hours