Friday, February 08, 2008
Holding His Own
Noah had a fairly uneventful night and seems to be holding his own. He had a fever spike this morning, but we were able to catch it pretty quickly and get it down before it caused too much havok on his other vitals. He's been needing quite a bit more sedation, as is shown by his heart rate skyrocketing when he is handled. His blood gases look better today and we've been able to go down a bit on the pressures of the Oscillator but his last chest xray didn't show much change, so we likely won't be able to go down much more right now. He is no longer close to the maximum settings, giving us a little "breathing room". His blood sugars have been up and down and all over the place and he's been needing insulin infusions as well as glucose boluses. We are still trying to find the right balance. His blood pressures were high this morning, so the Dopamine was stopped, but then they began drifting down again, so he is on Pentaspan which helps increase the plasma volume in his blood. His platelets were down to only 4 this morning, so he recieved another platelet transfusion. This afternoon they were only up to 7, so he will recieve another transfusion this evening. Our surgeon, (who is also the attending in PICU this weekend), decided to put in a temporary line in his jugular and remove the infected central line. This was all done right in PICU and it went well. We are hoping that by removing a partial source of some of the infections that this will give him a better chance to fight. He is quite swollen today because of fluids, but his kidneys are functioning better today and producing more urine. He has a catheter in so that his output can be measured more accurately.His other organs are holding strong and so we continue to fight. It has all happened so quickly that it doesn't seem quite real yet that we are in this situation. My arms feel so empty and I desperately long to just hold him. We are living on prayers, hugs and coffee. Please keep them coming!! Thank you for so many of you who stopped by yesterday. Noah's a pretty popular guy around this hospital and we love to see how he has touched so many lives.