Today there are definite signs that Wyatt has some other underlying illness
that may be to blame for most if not all of this whole mess. He's been lethargic
all day and hasn't been wanting to eat or drink anything. For a while he was
even unable to sit up and support himself. The major red flag came when he
didn't even move to get blood drawn. They drew just enough blood to recheck all
his levels in comparison to yesterday's readings during the long seizure. When
attempting to put an IV line in to give the Keppra, he reminded everyone of his
breath holding episodes - twice - so those are officially on the EEG now to see
if it correlates with the intermittent silent seizures. As the day progressed
things went from bad to worse. His heart rate started dipping up and down
periodically from the 130s to the 80s and with the cardiac risk factors in
mind, that's something to take note of. What that also tells us though is that
heart rate dips are one of the Wyatt's few reliable signs that he's sick with
something more than just a cold. It could be the flu; it could be a pseudomonas
flare up. The flu seems more likely since he has also been running a
temperature of 99.3F. In Wyatt's world anything over 98F is cause for concern
but 99F are major red flags waving. So priority number one to get his
temperature back down with a Tylenol/ibuprofen regiment. To avoid another IV
attempt or NG tube, we are also working on syringe feeding him 50-100ml of
Pediasure every couple hours. His blood sugar was down to 69 early but we convinced
the staff to let us try syringe feeding first before going the more invasive
and breath holding risky route. That's my mommy trick to normally get him to
take medication and I was able to also give him his first dose of Keppra mixed
with the Pediasure. Fingers crossed this method keeps working through the night
to keep him hydrated and get some calories into him. The second priority of
course it to observe if or how the Keppra is able to manage the intermittent
seizure activity. At this point there is no way of knowing when he'll come back
around but knowing Wyatt's history, there tend to be 2-3 downhill days before
he snaps back out of it.
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