Until now (4:15 am), at least, Ryan’s night is restless. I’m hoping that changes. His oxygen saturation wasn’t where I like it (92% – 94%), but not so low that action was necessary. Still, it puts me in a place of limbo as to whether to deep suction. This is done by inserting a catheter through his nasal passage and into his trachea (windpipe) to the depth just before the airway branches into each lung. It’s always more desirable if he’ll clear the mucus himself, and I help him along by giving percussion therapy and a nebulizer treatment. Still, I don’t want to wait to long. It’s a nasty game of wait-and-see.
Aside from oxygen saturation, I take other clinical indicators into account when I feel the timing is right. The most compelling is lung sound. If I hear and/or feel rumbling in his lower (inferior) lobe then I don’t wait any longer. Technically, this rumbling is called “rhonci”. Rhonci, to me, sounds like snoring when heard through a stethoscope. I wish I had a better way to describe the sound, but “junky” just seems to fit best and most people know exactly what I mean by it.
Seriously, I don’t know why the medical community feels the need to make this so flippin’ complicated. Think about it, “junky” or “rhonci”, which makes the most sense?
Update: Two Hours Later
Over two hours passed. During this time I was getting Ryan’s equipment, medications, and supplies ready for the day while checking on him often (I also pattered around a bit too much). It takes a while to do this set-up each morning, but it does make the day go so much more smoothly. Needless to say, it’s always a relief when it’s done. A huge relief.
Anyhow, Ryan’s oxygen is holding steady in the high nineties (98% – 99%). He finally seems to be resting peacefully. I’ll break from my usual routine of bouncing him out of bed around six o’clock and let him rest for another hour (or even two). The rest will serve him well, I would think.[poll id=”56″]
- Oxygen Drops, then Recovers (ryansrally.org)