Saturday, June 22, 2013

ICU Day 27 - An Uneventful Day

Nothing like titling the blog uneventful and then expecting readers to get beyond the headline. Sorry about that, but it did seem appropriate. It was a rather low key day for Shirley.  She did get out of bed and stand briefly in the morning, and then sat up briefly in the early evening.  Otherwise, there was not much on the docket.

She continued to make small progress with her kidneys as she had regular urine output.

She is experiencing a fair amount of pain as the doctors try to wean her off as much pain medicine as possible while still giving her comfort,.  Today, I think they were a little too restrictive on the scheduled pain meds and I know her night nurse is going to ask for the dosage to be increased.

For the last several days, Shirley's white cell count has been on the rise again.  Today, it was 23, indicative of a lingering infection.  As her belly is still sore, there is a suspicion of a pocket of infected fluid. The plan for tomorrow is to do another CT scan and if a fluid pocket is found, they will likely insert a drain on Monday.

Lung-wise, Shirley is doing great  They took her off the ventilator this morning and she's been breathing through the trach tube for about 12 hours. Over the tube, they have a flow of humidifier air with 30% oxygen and she has been able to maintain 98-100% oxygen saturation.  The goal was 12 hours, which she has made, but I now think they will keep the vent off overnight.


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