This morning I walked into Drayke's room and saw his saturation at 77. My heart sank. What went wrong? Why is his PEEP back up to 12?
It turns out he has a simple pneumothorax, slight collapse of the upper right lung. When I went over the xray with the RT manager we also noticed his ET tube was not below the clavical. So an RT came in an his tube is now at 11cm and his sats have popped right back up to the 90s. The xray from 3pm shows he is now a tad over expanded so the PEEP has been dropped back down to 11, possibly lower it more later tonight or tomorrow.
The echo from yesterday shows an improvement in his pressures showing that we are on the right track.
The doctors are going to start the weaning process off the Vec. This will be an all day thing because, as with any drug, we want to make sure there is no rapid withdrawl.
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