Mallie Bean

Mallie Bean

Thursday, September 9, 2010

Add another notch on her tiny belt

Yesterday was pretty slow and calm until early evening.  When doing vitals around 6ish - Mallie's temp was like 95.5 - she always seems run a bit on the lower end of normal but that is way low.  So we tried to warm her up with extra blankets, etc....She fell asleep shortly there after - so I went to grab a bite and came back to her monitor going off every little bit.  her heart rate was dropping below 80 when she was sleeping.  80-100 is normal for resting heart rates - I was concerned with her low temp and low heart rate.  The nurses were all about lets just keep an eye on her.  UM NO!  I told them to page her surgeon ASAP or someone to come look at her.  Sometimes from my google research a lower than normal body temp can indicate an infection.  I talked to my sister Dawn too for some advice and we both agreed she needed some attention from a doctor.  Plus she was just kinda lethargic too - the poor baby.  So the surgery resident doc on call came down and drew some labs to check her CBC and Metabolic panel.  All her bloodwork came back normal.  I felt a little better till it was time to go to sleep - they came back in around 10:30 to do another temp which was lower than the first one....ahhhhhhhhhh.  When she fell back asleep her heart rate continued to go down below 80...so the nurse came in and manually counted and got 74.  So other doctors were called in to check out the heart rate situation.  needless to say - another super interupted sleep!!  AWESOME!  The PICU docs came up with another machine to plug into - and they noticed an arythmia in her heart rate.  Even more wonderful!  When I mentioned the below normal temp to both doctors - the nurses did not mention it to them...wierd?  AND WHY?  Hello - hypothermia starts at 95 degrees -she was just above that.  What I found online is that the body temp being low can affect heart rate.  I am so not a doctor but come on why is noone concerned about her low temp?  When they checked it this morning it was only up a half degree and the arythmia was still there.  I am losing confidence in some aspects of this place.  The nurse this morning who took over  - was on the same page as me and put xtra blankets on her.  After about half hour came back to check her temp and it was normal :)  Cardiology just came in for an assessment and said it was not too concerning - she listened to her and said at this point everything seems normal.  She also stated that her low temp could have been causing the funky heart rate and rythem.  Ah HA!!!  Maybe I should change professions and become a fricken doctor!!!  well, maybe not :)  So they are going to do an EKG on her just for precautionary measures today - but both of us agreed that the arythmia and low rate has seem to go away now that her temp is back up.  I will post later with results.  Now surgery was here this morning and it was the same doc that was on call this week and making rounds.  He is not her surgeon and he also made the call to start feeds the other day that let to our set back.  Dr Robertson her doctor told me yesterday it would be friday before we take her off suction.  The doc this morning said today we can do it.  I am so not wanting to do what he says until her surgeon is ok with that.  So Dr. Robertson will be by later this afternoon and we will see what he says.  I do not want to go thru what we did earlier this week.  So for now we are just chillin again - and EKG team just showed up to hook her up.  so will back shortly with more news. 

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