Wrong doses

Billy was still having a difficult time with his reflux yesterday, he was also running a fever, and his secretions were thick. I kept saying something was wrong and started asking what they were giving him. I found that the much needed Reglan, hadn't been given four times a day. Then I found out they were double dosing his Robinul. A resident Doctor came in around 11:00 last night and went over the list of medications and the doses with me. We figured out that they messed up on four of his medications. Doubling up on some and under medicating on others. The result was a fever, retaining urine, and thick secretions. Appartely a student wrote the orders and messed up (I had given her a chart with times and doses of all the medications, so I guess she couldn't copy.) Thank God it didn't end worst than it did!!!

Today Billy is doing soooooo much better. He is back on feeds and on 1 liter of oxygen. By tomorrow he should be off oxygen completely. After the pneumonia ends, he will recive the Nissin fundoplication... finally!