Thursday, January 19, 2006

aargh!

1/19/2006

11:10 am, my cell phone rings, it's Tori's teacher at daycare...

"Hi, Tori was just laying around, complaining about feeling tired, and her face was flushed, so we decided to test," she says.

"Ok... What was her number?"

"She was 104, we know that's a good number, but we're going to take her temperature. Is there anything else you want us to do?"

"Given that she was 38 yesterday at lunch, I'm wondering whether she's headed down, or rebounding from already being down. Why don't you test her again in fifteen minutes, and let's see which way she goes," I instructed.

"Ok, I'll call you back after we test"

Fifteen minutes passed. The cell rang again, she had dropped down to 60, and they had given her three glucose tablets. After a brief discussion, we concluded with the agreement that she would only call if Tori continued to go down.

Another fifteen minutes passed, and yep, you guessed it, the phone rang once again. She had continued to drop and was reading 38! They had given her another 3 glucose tabs, and wanted to know what else to do. I instructed them to keep a close eye on her, and told them I would consult with Kristina and get back to them. Kristina and I discussed contacting Riley's about altering the NPH dosage. We decided there wasn't really anything more we could instruct daycare beyond wait and test again.

I called them back to find out her number had gone up to 128. Whew! We're out of the hole for now.

Fast forward to 2:30 am, we've reduced the evening NPH and need to test Tori overnight for the next three nights. She rings in at 86, technically not low, but at this time of night she should be in the 120-130 range to make it all night. One juice box and fifteen minutes later, we're back up to 114; I'll take it!

2 comments:

ryddler said...

If we were, neither of us can remember being told to do that. Is this what you do in practice? Is it very effective?

Shannon said...

It sounds like you chose a great preschool.

When Brendon was on NPH, we'd give him glucose tabs, wait 15 min and see where he was. Once we saw that he was rising, we'd give him crackers and cheese or some kind of carb and protein.

Ellen gave you good guidelines.