Monday, July 13, 2009

Another sleepless night in the ED...

Can you believe that after my self-imposed Emergency Department Exile, I had to go there again last night! And what made it worse was that it was with a different child and a NEW medical problem.

It would seem that last night Miss Audrey had her first ever asthma attack. She has had a cough for a few days, but yesterday she started wheezing with it, and by bed time she was coughing constantly, wheezing and really working hard to breath. So off we went to the ED. She got to bypass the triage line and got taken straight into resus and was given salbutomol (sp?) and something starting with 'A' via a mask every twenty minutes. She was also given steroids and a chest x-ray. Over night they managed to wean her from hourly ventolin treatments down to 3 hourly so we could come home this morning. She is to continue with 3 hourly treatments today and then we have to stretch it out to 6-8 hourly by Wednesday.

The part that disturbs me the most about all this is that they sent us home with an asthma action plan...which assumes that this wasn't a one off and is likely the start of her suffering from asthma. I am remaining firmly in denial about that and am sticking to my belief that this was in fact a one off until there is any evidence (ie another attack) to the contrary. And the extra bonus is that (assuming Audrey does have asthma) that as her identical twin Ashlea has a 50% chance of getting it too.

Audrey coped very well considering she is not at all used to medical things. She took all her meds and co-operated (mostly) with breathing treatments. As it was her first experience with ventolin she got quite hyper and at one stage I had to restrain her from tap dancing on her bed. At least she provided me with some entertainment during the long night!

So we are home now, and following our asthma action plan for the next 3 days. We will carry our ventolin with us from now on in the hope that it will ward off any further attacks. M is home today as he had to look after Emma and Ashlea this morning so I think I might go have a little snooze...

4 comments:

Sarah said...

Sorry to hear about a new diagnosis :-( with Audrey.

Big brother, Little sister. said...

Hope Audrey feels better very soon and is a once off! get some rest :)

Lacey said...

I so know how you feel. I have Jax, my medically fragile child, and a house full of asthma kids. My husband has it bad so I knew my kids would have it. The good thing about Audreys though is she may grow out of it, most kids do. But with my hubbys history, my kids are doomed. But when we have attacks or colds my neb is running 24/7. Albuterol is probably what they gave her.

karina said...

I'm with you on the denial. I was told that one attack is not enough to dx asthma. Tadd had one attack when he was 6 years old. Last year when we began seeing an allergy/asthma specialist they checked Tadd for asthma and it was negative, he does not have it!

So, live in denial a while longer!