She's been sleeping for the most part. Her vitals still excellent and she has lots of fluid output. All the Dr.'s that come to check on her like what they're seeing. Still just a waiting game of getting this fluid out of her.
Well removing the tube didn't go so well so it's back in. She still has a lot of fluid around the lungs, better than previous days, but it's still there. She was really having to fight to breathe and she wasn't able to exhale the right amount of carbon dioxide. They check her blood gas levels frequently and it was building up making her even more tired. Her condition isn't any worse than before but she was just having to struggle too hard to breathe on her own. Stress also causes the body to release antidiuretic hormones which isn't what we want right now. We need her to keep outputting fluid. So the plan is to remain on the tube and keep her kidneys pumping out fluid. They give her a drug called lasix which helps increase her output. It will take some time, even though she's removing a lot of fluid, the fluid around the lungs tend to take longer to resolve. They just finished an echocardiogram and it appears the amount of fluid around the heart is much less than yesterday. So bad news, the tube is back in, but the good news is things are still progressing in the right direction. Today isn't necessarily a step back, just not the leap forward we were hoping for.
They removed the tube around 9:30 and replaced it with a mask that still adds pressure to the lungs and help them expand. She's not very comfortable but is breathing OK. Her blood pressure is really high, I think she's a little anxious. She doesn't like this mask but I don't think she likes the alternative any better. For now I'm just trying to keep her relaxed.
She's awake but trying to relax. Her vitals are all still excellent. She still has the tube but she's breathing on her own. The docs are a few doors down in their rounding so I think we'll know soon what their plan is for taking the tube out. Her kidneys are working awesome and it's helping to get some of this fluid out. Things are still heading in the right direction, I hope to report better news soon.
Friday, December 5, 2008