Wednesday, October 17, 2007
Hi Everyone. Julianne had another good day yesterday. She was put back on continuous feeding that morning and did well. She was then switched to 2 hour feeds during which she also did well (i.e. no vomiting). Now she's on 1 1/2 hour feeds. We're hoping she does well with that one also.
Julianne's surgeon, Dr. Pigula, does not feel that the SVT Monday night is anything to be overly worried about. It could just be that she didn't have enough Amiodorone in her system because of all the vomiting. However, Amiodorone stays in the system for such a long time that it is possible that the vomiting wouldn't affect the levels. They've upped her dosage of the Amiodorone and have begun to give it to her orally rather than through her feeding tube. The medication has a tendency to stick to the plastic of the feeding tube so that could have been part of the problem as well.
We really just can't know for sure that she'll never go into SVT again. Dr. Breitbart said that they'll continue to watch her longer and they'll teach us how to check her pulse and evaluate her for problems.
Julianne's chest x-ray was fine. They've decided not to try to put in another IV at this point. Dr. Pigula felt comfortable without one. That's fine with us because she really was stuck a lot after the SVT episode.