It's been a while since I last posted but Leo (5 yr old son) has had a turbulent few months, with his last admission being in November.
He saw his resp. Consultant again on 2nd Jan and we were given salbutamol nebules for a home nebuliser at last. I know this is a controversial move as it can lead to people not being admitted in time, but our consultant believes that we have experienced enough asthma episodes with Leo to know when home treatment is not working. We also have two SATS oximeters so check his SATS before and after his nebuliser.
This is where I have an issue and although I know this forum is not a medical forum so people cannot give medical advice but I am just looking for opinion son what others have experienced or would do in this situation.
Leo's SATS have been hovering around 92-93 the last two days whilst he has been unwell with a cold and an exacerbation of his asthma. He has started yet another course of prednisolone .I. His SATS have gone up to 94-95 after nebuliser and then back down to 93 or so about an hour afterwards. Based on him being quite happy in himself today (much better than the day before), I have just carried on with the nebuliser/inhalers as needed. However, I have just gone and checked his SATS whilst he is fast asleep in bed and they are down to 90. He is labouring slightly but this is normal for him when he is having an asthma episode and it is no worse tonight than it has been over the weekend. But still, I think 90 is low. But he is sleeping peacefully. I am about to give him 10 puffs with his spacer (I think the noise of the nebuliser might upset him at this time of night), so hopefully it will go up.
My husband thinks that it is best just to let him sleep and not to worry as long as we keep checking him (I will sleep with him tonight).
Is 90 too low to be at home? I know they won't usually discharge him until his SATS are at least 96 when he is not he ward but he doesn't seem distressed right now.
Any thoughts would be gratefully received.
I would just like to say that if I thought he was in any danger we would of course take him in immediately, I am just wondering whether, as we are trying to deal with things more at home, we are doing the right thing.