Into the PICU

Last night, Rebekah started to scream whenever I fed her through the g-tube. She cannot tell me when she does not want to eat because it is all on a schedule and done for her. She has reflux, but she was actually throwing up with almost every feeding. This morning I called the pediatricians office because she was also sneezing and coughing and sounded a little gurgly. She was a little dusky looking too. We didn't get an appointment until 1:40pm. I took her in and the nurse started a pulse ox and it was 71, so she called for help. We were immediately surrounded by 4 other nurses. They checked her o2 saturation in another location and got her some oxygen. The pediatrician saw her and immediately sent us to the local ER while he phoned ahead and arranged for her to be transported to Brenners 1.5hours away. The ER was ready for us and we went straight back to start labs and X-rays. The nurse in her room did a very poor job of putting in an iv. Both I and the nurse who helped commented but it was still done incorrectly. Matthew and Niya showed up at the ER (I had called on my way there to tell him what was going on). Her pediatrician (Dr. Monroe) met us over there to direct the show and inform Brenners with the lab results. Her chest X-ray came back completely white (very bad). She was tachypnic and had tachycardia ( elevated respiration and heart rate). They gave her some strong lasixs. Her blood gas was good and she had a negative RSV test but her white blood cell count was 27000. Brenners transport arrived and we drove to Winston. On the way, the administered antibiotics to start working on the unknown infection. They also drew blood for cultures and had to redo her iv because the first on made her hand swell severely. She was admitted to the PICU and had more blood drawn. She is currently not allowed to eat and is getting all nutrition through the iv. She also started running a low grade fever after being admitted. They will decide what to do further tomorrow morning.