A PCA is an IV patient controlled analgesic (at least I think that is what it is). It is the controlled substance drugs. The patient "chooses" when they want to have the drug. The pump is set to only administer at a minimum setting (in Bratcat's case it is no more than every 6 minutes). She can press the button as much as she wants but it won't dispense anymore often than every 6 minutes. But if she thinks she can go longer than that she doesn't have to take the PCA. This also helps because she doesn't have to wait to ask the nurse for meds and then wait for the nurse to bring it. Her PCA right now is morphine.
Bratcat passed gas today! That was the criteria to move on to clear liquids. Her potassium level was a bit low so the doctor wanted her to have potassium administered. Unfortunately the surgeon was in surgery and had not OK'd the clear liquids so the first 2 doses (of 3) were done by IV. They burn going in and it was the first time that she got upset. By the 2nd bag, the surgeon had OK's potassium orally. Much easier to handle. She's been walking alot today. It's amazing how different she is from her first surgery. She has some discomfort but can get herself up and down off the chair, walk the floor (at a pretty good pace), and is much more social. Today they changed the top dressing of where her stoma was. Tomorrow they will change the whole thing and we will see what it looks like.
She had another roomie this morning. An 8 day old baby with jaundice. Then he was moved to PICU and she now has 2 new roommates (the room is for 3). One is a 5 year girl with asthma. Her parents are hoping she can go home tomorrow. The other is a baby (under 1). They just came in so we haven't met yet. The floor holds 14 beds and they are all filled. When Bratcat was here in July there were 4 patients in total. Big difference!
--Mom of bratcat (17 years old) and nonamejames (19 years old)--
Daughter bratcat was diagnosed with pancolitis October 2006
Flared Fall 2006, Fall 2007, Spring 2008
Asacol, Rowasa, hydrocortisone enemas, prednisone, 6-mp, Remicade
7/3/08-Step 1 j-pouch surgery and no more meds
Step 2 scheduled for November 10
Son nonamejames was diagnosed with Crohns in Spring 2008
Asacol, Pentasa, 6-mp