|Michelle, me, Chloe, Stefan - can you guess who the statue is?|
|Target Field in its inaugural season (first season, I gather)|
|Minneapolis road sign, Hmmm....|
Not long after I arrived, O2 Saturations decreased, PIPs increased (indicators on the vent that something is wrong and she isn't getting air the way she should). Her blood pressures dropped again, her pulse rate dropped, they started to suction blood out of her breathing tube and Stefan and I stepped back so all of the skilled people in the room could intervene.
According to the brains of the operation (ICU and BMT attendings), she was responding to a systemic or lung infection or a lung bleed. Chest xray showed a new spot. The lung doctor thought this also and did a bronchoscopy (washed some fluid in her lungs and sent a specimen to check for infection). Other specimens taken as well.
While waiting for results, she was given Factor VII to help her clot and stop her bleed (used in the battlefield - good stuff). She was also given Vancomycin along with the other antibiotics she is already on to cover a broad spectrum of "bugs". Epi, Dopamine, and eventually Vasopressin started for BP. At this time, I asked if the Amlodopine (a drug to keep her blood pressures DOWN) was given as scheduled at 8AM -yes and what was the blood pressure prior. Turns out that it was 85/28 when Amlodopine was given. Drs she has some sort of infectious process going on. Remains to be seen what kind.
They put in a double lumen PICC line (another central IV access, not at permanent as her Hickman, but better than a regular IV. Her tests so far have come back negative and it isn't uncommon to have an infection where the source can't be found. #*@! On top of this, she isn't peeing AT ALL, she is swelling up like a puffer fish, her kidneys not so good (sCr 1.16), her abdomen feels distended a bit, and her extremities are a little purple. Talk of starting dialysis tomorrow. At least she's sleeping comfortably through it all.
Currently her Sats are back down and I need to help reposition her to see if we can't make her lungs happy right now. Hope I can report improvement tomorrow.