Professor here now.
The last 24 hours have been very informative:
0800 - Still on CPAP, all is well. Numbers look good.
0930 - ABG taken, looking good, but not good enough to remove from vent.
1100 - Dr Lemus came by to check on catheter ports. Looking good for dialysis in the afternoon.
1105 - Just spoke to Kaiser Dr. Rohas (IM). There is a small growth on one of the heart valves that came from the infection (called vegetation). Lee might need surgery to remove this, but AVH is not the place for this procedure. Kaiser Sunset is. There is no way anything will take place until the rest of the systems are stable enough for the move, and this will be another wait-and-see process.
1115 - Nanny reviews ABG info with Robert (RT): Lee's ABG respiratory numbers were fine, but the other numbers were not as good, e.g., Kidney.... Duh...he needs dialysis. Robert said it is best to let Lee rest more and get stronger before they take him off the vent.
noon - still
noon - Still on CPAP, all is well. Numbers look good.
1400 - Still on CPAP, all is well. Numbers look good.
1500 - Dialysis process begins
1915 - Dialysis done. At ths time, Lee does not like the Dialysis. Because of the valve issue, the heart is working hard, and the BP still dips....
As of this writing:
2145 - Switched back to vent assist.....Lee had a GREAT workout! He on CPAP mode for the last 30 hours! Time to rest a bit.
Vent 35%, peeps 5%
HR 130 (and dropping slowly)
BP 112/54 MAP 74
SpO2 99-100%
Professor
Eternal Vigilance
שבח יהוה
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