Today's Stats:
Breakfast
In case you hadn't guessed, in our household breakfast is has a literal definition, oblivious to time of day. I'm not sorry I let her sleep in. She looks good, nice and pink and was ready to get up when I called her at 1230. As you'll notice from posted times, above, she even got around a bit sooner than usual, less than an hour from testing her blood glucose (which I do while she's still in bed, previous to break-fast) to her first mouthful of food. She's not sure about going to the grocery, although I mentioned to her it doesn't close until 2200, and maybe she'd like to try the walker in the dark. She laughed. Good sign, not of going out in the dark, but of her general mood and desire to move.
At any rate, I told her, maybe we could practice in the driveway, today, but, I "scolded" her, not before we do her hair, from start to finish, to which she breathed a sigh of relief. This means, not for another couple of hours.
She may have only two real meals today and a snack. One way or another, though, I'll be getting in at least 3 iron protein succinylate pills. If she does a little moving and decides not to take a nap (which sometimes happens on late-beginning days) the snack may actually become a regular lunch-on-the-light-side. We'll see.
Lunch
Well, I guess we all noticed, that was one serious muffin my mother had ["...and I enjoyed every single bite!" she declared, when I told her what her blood sugar was and why] this morning! We won't be doing that again, soon!
I'm not worried. The hospital boosted her to 368, and we got her back down within 6 hours, and she doesn't spend much time in that rarefied, sugary air, anymore. Holidays often unfold like this, as well, since there usually isn't a time when there isn't something delicious to eat in front of Mom.
Once again, I put off the lisinopril, just to see how well her blood pressure holds its own up until dinner. Maybe our routine lisinopril administration will change to evening, rather than morning; timing, sometimes, makes all the difference, in administering meds. She's even smoked, some, this afternoon, but she's back on oxygen, now, since I told her that once the sun is below the butte but it's still light, we're going to practice walkering on the driveway. Of her own accord, she said, "Well, I'd better breathe some oxygen, then." It appears as though she is making a connection between oxygen usage and energy. I've been astounded at how her cigarette consumption has decreased, and how good she's been about it. Of course, this is also usually an indication that she's feeling "bad". When she's feeling "good", she doesn't forget about cigarettes.
Dinner-Lite
Well, we took care of this morning's muffin without a problem, and, after smoking for awhile, her blood pressure (at least her systolic) was high enough to warrant giving her lisinopril.
Just as a side note, hydration, although it takes all day, is going well. She isn't losing water as quickly as she used to, although I'm not giving her anymore (or any less) liquid than I used to; approximately 3 quarts of liquids throughout the day, not including those she gets in foods. Thus, by the end of the day, she tends to look pretty good, and her feet are not swelling, at all, so that's good. Long sleeps at night, though, tend to dry her right up. Slowly, as her activity increases, though, I think, as was true before, she won't be as interested in sleeping so much.
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Blood Glucose: Time: 1224 Reading: 94 |
Blood Pressure: Time: 1305 BP: 125/58 Pulse: 66 |
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Breakfast (use your imagination): 1315 & Meds What she ate: 1 hard over egg, heavily peppered 2 slices thick cut sugar cured lean bacon 1 Costco (to describe size) muffin, undetermined berry type (too few berries) 1/4 tsp cinnamon on bread 6 oz orange juice diluted w/10 oz water |
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| Med/Dose | Administration | Explanation |
| glipizide/10 mg | 1 pill at least 1/2 hour pre-meal | standard breakfast and dinner med |
| Albuterol/2.0+IPRAO/.5 | nebulized during meal preparation | standard breakfast, sometimes dinner med |
| Protonix/40 mg | 1 pill at least 1/2 hour pre-meal | standard breakfast med |
| Detrol/2 mg | 1 tab with meal | standard breakfast and dinner med |
| metformin/750 mg | 3/4 of 1000 mg tab with meal | beefed it up to "cover" the muffin, but kept it lower than I would have before the experiment; normal dosage with the Costco muffin would have been 850 - 1000 mg metformin, depending on the rest of her breakfast |
| Iron Protein Succinylate/18 mg from 360 mg Iron Protein Succinylate | with meal | standard breakfast, lunch and dinner med |
| Daily Senior Multivitamin | with breakfast | standard breakfast supplement |
| vitamin C 1000 mg | with breakfast | standard breakfast supplement |
| folic acid 400 mcg | with breakfast | standard breakfast supplement |
| garlic/1250 mg | with meal | standard breakfast supplement | 1/4 cup pure cranberry juice w/12 oz water | after breakfast | standard after breakfast supplement |
| Meds & Supplements Conspicuously Absent | ||
| Med/Dose | Administration | Explanation |
| aspirin/81 mg | 1 pill with breakfast | Has not been receiving this, per doctor's orders, since 6/18/04; he feels that, if she is bleeding internally intermittently, the aspirin, being a blood thinner, will increase the blood flow, and this is a higher risk to take, right now, than protecting her against strokes, including mini-strokes. |
| lisinopril/2.5 mg | 1/2 tab with meal | Decided to wait until mid-day reading to see if diastolic comes up of its own accord. It might; she's smoking as I type. |
| vitamin E/400 IU | with meal | standard breakfast supplement; temporarily deleted to due physician request regarding concern about it interacting with the iron and some of her other meds |
In case you hadn't guessed, in our household breakfast is has a literal definition, oblivious to time of day. I'm not sorry I let her sleep in. She looks good, nice and pink and was ready to get up when I called her at 1230. As you'll notice from posted times, above, she even got around a bit sooner than usual, less than an hour from testing her blood glucose (which I do while she's still in bed, previous to break-fast) to her first mouthful of food. She's not sure about going to the grocery, although I mentioned to her it doesn't close until 2200, and maybe she'd like to try the walker in the dark. She laughed. Good sign, not of going out in the dark, but of her general mood and desire to move.
At any rate, I told her, maybe we could practice in the driveway, today, but, I "scolded" her, not before we do her hair, from start to finish, to which she breathed a sigh of relief. This means, not for another couple of hours.
She may have only two real meals today and a snack. One way or another, though, I'll be getting in at least 3 iron protein succinylate pills. If she does a little moving and decides not to take a nap (which sometimes happens on late-beginning days) the snack may actually become a regular lunch-on-the-light-side. We'll see.
Lunch
|
Blood Glucose: Time: 1701 Reading: 256 - Yeow! |
Blood Pressure: Time: 17-9 BP: 116/61 Pulse: 61 |
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Lunch: 1712 & Meds What she ate: 5 oz small curd 4% cottage cheese, heavily peppered approx. 3 oz MCS's bread and butter pickles 12 oz V-8 juice with 1/4 tsp. cinnamon |
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| Med/Dose | Administration | Explanation |
| metformin/750 mg | 3/4 a 1000 mg tab with meal | considered her interesting results | Iron Protein Succinylate/18 mg from 360 mg Iron Protein Succinylate | with meal | standard breakfast, lunch and dinner med |
| Meds & Supplements Conspicuously Absent | ||
| Med/Dose | Administration | Explanation |
| lisinopril/2.5 mg | 1/2 tab with meal | decided to wait until later in the day |
Well, I guess we all noticed, that was one serious muffin my mother had ["...and I enjoyed every single bite!" she declared, when I told her what her blood sugar was and why] this morning! We won't be doing that again, soon!
I'm not worried. The hospital boosted her to 368, and we got her back down within 6 hours, and she doesn't spend much time in that rarefied, sugary air, anymore. Holidays often unfold like this, as well, since there usually isn't a time when there isn't something delicious to eat in front of Mom.
Once again, I put off the lisinopril, just to see how well her blood pressure holds its own up until dinner. Maybe our routine lisinopril administration will change to evening, rather than morning; timing, sometimes, makes all the difference, in administering meds. She's even smoked, some, this afternoon, but she's back on oxygen, now, since I told her that once the sun is below the butte but it's still light, we're going to practice walkering on the driveway. Of her own accord, she said, "Well, I'd better breathe some oxygen, then." It appears as though she is making a connection between oxygen usage and energy. I've been astounded at how her cigarette consumption has decreased, and how good she's been about it. Of course, this is also usually an indication that she's feeling "bad". When she's feeling "good", she doesn't forget about cigarettes.
Dinner-Lite
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Blood Glucose: Time: 2042 Reading: 97 |
Blood Pressure: Time: 2128 BP: 125/52 Pulse: 69 |
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Dinner: 2130 & Meds What she ate: approx. 10 oz Marie Callendar's Beef Pot Roast Soup, beefed up with, you guessed it, beef jerky, as well as grape tomatoes, fresh celery, green onions and carrots 1 medium croissant |
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| Med/Dose | Administration | Explanation |
| glipizide/10 mg | 1 pill at least 1/2 hour pre-meal | standard breakfast and dinner med |
| metformin/500 mg | 1/2 a 1000 mg tab with meal | |
| Iron Protein Succinylate/18 mg from 360 mg Iron Protein Succinylate | 1 tab with meal | standard breakfast, lunch and dinner fare while she's anemic |
| Detrol/2 mg | 1 tab with meal | standard breakfast and dinner fare while we're trying, again, to see if this will work on her |
| lisinopril/2.5 mg | 1/2 pill with meal | finally decided to give it to her tonight |
| Acetaminophen/500 mg | 1 tab with meal | for muscular stiffness, back of legs, from walkering the last two days |
Well, we took care of this morning's muffin without a problem, and, after smoking for awhile, her blood pressure (at least her systolic) was high enough to warrant giving her lisinopril.
Just as a side note, hydration, although it takes all day, is going well. She isn't losing water as quickly as she used to, although I'm not giving her anymore (or any less) liquid than I used to; approximately 3 quarts of liquids throughout the day, not including those she gets in foods. Thus, by the end of the day, she tends to look pretty good, and her feet are not swelling, at all, so that's good. Long sleeps at night, though, tend to dry her right up. Slowly, as her activity increases, though, I think, as was true before, she won't be as interested in sleeping so much.
posted by Gail Rae @ 23:59
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