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My mom is on a vent. For some reason when we move her say

Sent to Health Experts October 03 12:07 AM

My mom is on a vent. For some reason when we move her say to turn her in bed, or to move her in a geri chair, she tenses up and her rate goes high into the 40's. Why does this happen?

 

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Female, Age: 79, California

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October 3 12:09 AM (2 minutes and 26 seconds later)
         
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Hello

Is she able to communicate? It could be that she gets scared and doesn't feel secure when she is moved. If you can tell me more about her condition, I might be able to give you more possibilities.

Kerry



Kerry, RN
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Kerry -- Nurse (RN) -- 98% Positive Feedback on 4053 Health Accepts
35 years in Nursing: OB/GYN, Peds, Oncology, hospice, Ortho, Neuro, Addiction, Recovery, Geriatrics
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October 3 12:25 AM (16 minutes and 25 seconds later)
         
She has a strok back in Nov. of 03. There was very little damage. She was able to communicate with us until May 1 of this year. That is when things went south. We thought it was just a low sodium problem, which it was - sodium was 118. She spent 18 days in the hospital. She got outbut had to go back in 4 days later due to low sodium again.

She was out for a week, but then had a UTI and back in to the hospital for 7 days. Got out for 7 days, then she got sepsis. She recovered from that and was ready to come home July 9. But on July 6 they said she aspirated and that is when she went on the vent. They didn't really try to wean her, so she had a trach. Now her rate only goes high and she hasn't been able to wean.

What can be done to start the weaning process?
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October 3 12:31 AM (5 minutes and 50 seconds later)
         
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Kerry -- Nurse (RN) -- 98% Positive Feedback on 4053 Health Accepts
35 years in Nursing: OB/GYN, Peds, Oncology, hospice, Ortho, Neuro, Addiction, Recovery, Geriatrics
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October 3 12:37 AM (5 minutes and 20 seconds later)
         
She is currently in a Long Term Acute Hospital - Kindred Hospital in Ontario. She is receiving breathing treatments every 4 hours. I asked them to start her off at pressure support of 20 then go down from there. But they said pressue support of 17-20 is not really weaning. But wouldn't that be a start towards strengthing her lung muscles? Then after a few days lower it and keep working at it?
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October 3 12:40 AM (3 minutes and 29 seconds later)
         
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Kerry -- Nurse (RN) -- 98% Positive Feedback on 4053 Health Accepts
35 years in Nursing: OB/GYN, Peds, Oncology, hospice, Ortho, Neuro, Addiction, Recovery, Geriatrics
Reply
October 3 12:45 AM (5 minutes and 23 seconds later)
         
I asked the pulmonary dr. about starting at 20 then working down. She is the one who said about the 17-20. But I feel she is wrong. How can I get them to change her mind & try my way? Should I ask for another Dr.? Physical therapy is sitting her up for an 1hr-1 1/2 hr 3 times a week. And her rate is between 18 - 24. which is good for her. I believe this helps build her lung muscles.
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October 3 12:53 AM (7 minutes and 17 seconds later)
         
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Kerry -- Nurse (RN) -- 98% Positive Feedback on 4053 Health Accepts
35 years in Nursing: OB/GYN, Peds, Oncology, hospice, Ortho, Neuro, Addiction, Recovery, Geriatrics
Reply
October 3 12:56 AM (3 minutes and 33 seconds later)
         
Thank you sooo much for being here. I really feel that the drs. are not really listening to me because I am the family and what do I know about medicine. I feel like I am the only one trying to heal her. I will keep you posted.
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October 3 12:58 AM (1 minute and 13 seconds later)
         
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Kerry -- Nurse (RN) -- 98% Positive Feedback on 4053 Health Accepts
35 years in Nursing: OB/GYN, Peds, Oncology, hospice, Ortho, Neuro, Addiction, Recovery, Geriatrics
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