Hmm, good question. Everything I do is so mechanical at this point, it is like brushing my teeth only it takes longer LOL!
In the am...time is dependent on how tired I am in the morning. I am a homebody, am disabled due to respiratory failure (live on vent...myopathy related). Anyhow...I wake up, go to the BR and do my business, all the while bagging myself. I come off the vent for this. I usually clean myself up for the day at the same time, hey, why waste energy?? When I am all through, the really fun stuff begins. I hook myself back up to the vent and proceed with my nebs. First, I neb Xopenex, then Pulmozyme. Next is my vest, which is much more comfortable now that I have the proper size. Not to get off of the subject, but boy does a properly fitting vest make a difference!!! I start at 10 MHz, pressure 3 for 10 min. Increased to 14 MHz for an add'l 10 min. Then, I up it to 16 MHz for 5 min and finally up to 18 MHz for a final 5 min. I cough, suction if needed and then do my TOBI when I am on that rotation. Flovent is last. I take my meds(Nexium, Synthroid, Verapamil, Zithromax 500mg on MWF, vitamins, iron, calcium, coumadin, baclofen etc...), check my sugars and then eat. I never eat prior to doing my vest, it is very uncomfortable!!! I take my enzymes with my meal, about 3 Creon 20's depending on how much fat etc...is in the meal. I don't eat big meals, it is uncomfortable to eat alot. Being on the vent, too much food in my stomach presses on my diaphragm making my breathing effort more difficult, also...my GERD acts up more with a very full stomachl
After meals, I do my trach care...change the dressing or "bib", clean the area near the stoma etc. Change the inner cannula, check to see what my sputum looks like. I also make sure that my suction catheter is clean, if it is due to be changed then I change it. During the day, I make sure there is enough humidification in my vent circuit...I add sterile water to the resevoir.
If I go out, I make sure that my back up vent is okay, the batteries are charged etc...and the HME (provides humidity) is changed. I also make sure that my emergency bag is fully stocked...there is nothing worse than having a problem with either my circuit, my trach..anything that may compramise my breathing, and not being prepared! My wheelchair is also checked to make sure that it is also fully charged.
I do take naps on and off during the day. I also eat frequently throughout the day, small meals and check my blood sugars and cover as necessary. At 2pm, I neb another dose of Xopenex. If I have a sever coughing fit, sometimes I nebulize Lidocaine to soothe my raw lungs. Works like a charm!
In the PM, I repeat my am CPT and nebulized meds routine and take my pm meds and insulin, Lantus. Finally, I am off to la la land until the next day begins. Currently, I have a PICC line that isn't being used, so I flush the lines and make sure that the dressing is intact. I change it as needed.
Like most of you, taking care of myself is a full time job! Hugs, Jenn <img src="i/expressions/face-icon-small-smile.gif" border="0">