We also demonstrated changing of Leah's trach. That went really well!
Leah, however is acting up a bit - the hospital tried to wean her albuterol treatments and slowly take it away eventually as well as made a few minor adjustments on the ventilator. Leah is telling the hospital that she didn't appreciate these changes... she has been wheezing more and is having a hard time keeping her sats up. We are on 10 Liters of oxygen at the moment and satting 93 - Got to try and wean that back to her base line of 3 or 4 liters.
This reaction she is doing is her pulmonary hypertension playing again. When she doesn't feel good and they try new things, she tends to desat - you have to leave her alone and let her recover before you can mess with her again. if you would like to read up on pulmonary hypertension, feel free to take a look at this resource...
Pulmonary Hypertension: A Patient's Survival Guide
All, in all, it was a productive day - a little concerning and stressful though! Praying she recovers in a timely manner so this doesn't prohibit us from going home soon!