Update: 03/30/06

Medications:

165 mg. Oral Morphine (6 doses).

180 mg. Extended Release Morphine.

6 drops Atropine (2 doses).

2 mg. Lorazepam in 2 doses (for sleeping/anxiety).

20 mg. Compazine in 2 doses (nausea)

Morning SAT: Oxygen Saturation = 92/Heart rate = 102 (sitting).

Evening SAT: Oxygen Saturation = 88/Heart rate = 103 (lying down).

How Joann’s Day Went:

This morning I found Joann still in her lounger. She indicated that she couldn’t breathe, so I gave her the first dose of Atropine, and 30-mg of morphine. (New feature.) This was all before her morning tablet set. My guess—hypoxia. From that point on, she had another bad day. She still wanted to sleep in her lounger, so I let her, at 11:00 PM bedtime.