Within an hour, he was getting cranky fast, not sleeping, throwing himself all over me and the couch. The more upset he got the harder it was for him to breathe. He slept for 15-20 minutes and then was up for an hour, then restless sleep for 15-20 minutes, tossing and turning. I gave him another albuteral nebulizer treatment around 1:15am and when there was no improvement and he started getting worse very quickly, I started making phone calls to get some help with the other kids. Thanks so much Krysti for running over here in the middle of the night and staying with my kids!
By 2:15 he was in a trauma room with another albuteral treatment, blood being drawn, hooked up to the Heart monitor and a pulse ox. When we checked in his respiratory rate was up to 84 breaths per minute, but his O2 sats managed to hang in the lower 80's to upper 70's. There was lots of panic with the nurses who had a hard time believing that his O2 was normally in the lower 80's. I wasn't going to argue with them though, as soon as they saw his O2 sats in triage, they sent him back to trauma, and that is just where I wanted to be. They ran tests for RSV and gave him 2 tubes of epinephrine in the nebulizer and took some X-rays of his chest. He was not happy about any of it for the first hour, and then after all the breathing treatments he was feeling much better.