
04/05/2005
(Always vent before giving meds)
Phenabarb – 6 cc’s -- 2x’s/day (As of right now, Karleigh is not on oxygen at night)
Robinol – 2.5 cc’s – 2 or 3x’s/day
Prilosec (Omeprazole) – 10 cc’s – 2x’s/day
Baclofen – .5 (½) cc – 2x’s/day
Xopenex – 1 vial every 4-6 hours as needed
Tylenol – 5 cc’s every 4-6 hours as needed
Motrin – 5 cc’s every 6-8 hours as needed
FEEDINGS
(Nothing by mouth)
Morning – Set pump rate at 80 cc’s/hour
2 cans Peptamen Jr. + 15 oz. of water
(add ice block to pouch of bag to keep the formula cold throughout the day)
Bedtime – Set pump rate at 50-55 cc’s/hour
1 can Peptamen Jr. + 5 oz. of water
-- MAKE SURE TO CHARGE THE PUMP ALL NIGHT SO IT IS READY TO GO FOR THE NEXT DAY!!!
(If she doesn’t get all of the formula in by morning, it is ok. She will be fine.)
BEDTIME & NAPTIME
She will go down easiest if you spend some time rocking her or holding her. Then just lay her down with lots of hugs and kisses. Push the frog’s nighttime hand 6 times and it will play music for 6 minutes. If she cries, it is ok. But if she keeps crying (10-15 minutes), she either needs to be vented, didn’t get enough “cuddle time”, or simply isn’t tired. She will usually always wake up about 20-60 minutes after falling asleep. All she really wants is to be rolled onto her side. If you get in there when she just starts to wake up, it is easier to keep her asleep. Watch which way she is turning her head when she wakes up. If she has her head to the right side, then most always, she wants to be rolled to her left side – and the same with the other side. Put a blanket roll behind her to help stabilize her and keep her comfortable. You can also put a blanket folded between her legs or a small one for a pillow (about 1 inch high).
OTHER INFORMATION
Karleigh likes to have people around. She is most always happy if she is feeling well, and has someone paying attention to her. Try to keep her near someone.
She loves to go outside and go for walks, but has a hard time breathing in strong wind and cold air.
Make sure to push her heel into her AFO’s tight and then Velcro them tight. It will not hurt her, as they are molded to her feet. Her heel HAS to be held in tight, or she will get sores. She pushes her toes down and can get her heel out of position if it isn’t tight.
If she gets red around her stoma, clean it with soapy water and then put a 2x2 gauze pad around it. Tape the gauze together. Then put either aloe vera cream under it, or desitin, or mix the cream and desitin together. Then gently tape the pad to her stomach so the medicine doesn’t get all over.
Try to get her to be sitting in her wheelchair as much as possible. This makes her easier to move around, plus gets her off the floor. Make sure to tighten the strap very tight around her hips. If her hips are held tight, it gives her less of a chance to wiggle into an unwanted position. (you will have to tighten the strap each time you put her in the chair – it slips)
If you go in the car, roll some blankets up next to her to hold her in a good sitting position in her carseat.
Bathtime – Try not to get water in her ears. Also, DO NOT get it in her mouth.
To brush her teeth, lay her on her side and support her hands or face so she is not startled.
IF SHE GETS SICK….
Check her temp. rectally. Please call me if she is acting even a little bit sick, or just acting different!
She really does understand much of what you say!















He is absolutely darling and looks so sweet! I am in love with his hair! I get to go see him in a couple weeks!! SO excited!

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