Not a plus day

Dorothea still says she can't breathe even though her volumes are up and SO2 is 100%. She is still complaining of general belly pain and that causes her to cry which causes her nose to run but being on the vent she can't blow her nose so the drainage runs down her throat and collects on the top of the cuff which triggers her gag reflex. She tries to spit up but nothing comes up which causes panic and more crying. We have been trying several pain killers today and finally came up with one which allows her some peace and rest. Chest tubes still draining and about 100ml of urine in the foley. Hope for a better day tomorrow.