Thursday, November 6, 2008

192nd Day in the NICU

We are into day two of having Drayke in a paralytic state. His numbers are very stable. The spells have stopped. Heart rate is anywhere from 135 to 160. O2 saturations are between 88-95. His blood pressure has always been good. Now we need to figure out why he desats while awake. Stress. Agitation. We simply are not sure. I am not as afraid as I was 2 days ago when I couldn't stop crying.

The pressure on his vent was dropped to a PEEP of 11, pressure support is at 12. In english, he is needing less support. We do need to try to get his oxygen back down but the doctors are taking things very slowly at this point.

I have the list of meds he is currently on, both IV and oral:

IV Meds
Vecuronium - paralytic (endng on Saturday)
Milrinone - heart function (increasing dosage today)
Morphine - sedation
Lorazepam/Ativan - sedation
Vancomycin - antibiotic (today is his final day on it. Last 2 blood cultures show negative for staph)
Total Parenteral Nutrition (TPN) - until we start his feeds

Oral Meds
Viagra/sildenafil citrate - a blood vessel widening vasodilator
Spironolactone - diuretic
Hydrochlorothorazide - diuretic
Aminophylline - bronchodilator
Theophylline - bronchodilator

My sweet little man is SO going to hate doctors as he gets older.

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