Steven was here with Ike last night, while I went to back to the hotel for some pharmaceutically-induced dreams. Tonight it's his turn for sleeping and my turn to
police hang out with the nurses.
Here is Steven's update that he sent out this morning:
It was a long but okay night. Started off with…More fever. More high
heart rates. More low blood pressures. But the night got better thanks to
a great night nurse who 'suggested' we switch from Versed
to dexmedetomidine as it causes less high blood pressure side effects.
We also got tylenol, more IV fluids on board and started continuous
feeds of formula.
After all those changes Ike's blood pressure is almost base line and
his heart rate is just 20+ and not 50+ base line so that's better.
The Cotton team already changed his rib dressing this morning. The
incision site looked great and Ike tolerated the dressing change well
which is very good considering that he is only on a starter dose of dex
but maybe him being asleep at time had a lot to do with him tolerating
the dressing change so well.
Also, we are now on the schedule for TU for the next scope.
Ike's sleeping now.
We're on schedule for a PICC line to be placed at 10 am. This will allow them to remove the IVs and hopefully make the likelihood of an infected line much less likely. (Easier said than done – it was a central line that welcomed us to the world of MRSA the last time he was in PICU – not his PICC line, though.)
For that procedure, they'll move us into a sterile room and gown us up with masks and hats and stuff, but we'll be able to be with Ike the whole time.
Not a fan of this fever/high heart rate business, but he's on enough antibiotics to render an elephant squeaky clean, and we've been assured that fever is common after surgeries like this.
Hello, Thursday! Please don't be exciting.