Tuesday, February 24, 2015

Paul: 2/24 - Morning Report

UPDATE:
Paul had a really good night!  Praise God for bringing us Keysha (I spelled her name wrong yesterday, but I know God knows who she is - He sent us an angel!)

Kidneys:  Paul has made more urine.  His creatnine is down to 4.33.  They said the decrease will now potentially go slower.  The dialysis is pulling 50mL/hr and we will look to increase that to 100mL/hr today.  That will help pull off the additional fluid.

Lungs:  He is at 55% oxygen / 5 PEEP.  With that, his oxygen saturation is steady around 92-93.  They are pulling a blood gas to ensure his organs are getting the oxygen (which they should be, but I am glad they are checking).  Goal here would be to get down to 30% / 5 - but that might not be today.  He cannot get off of the vent until we get to those numbers.  He will also get a chest x-ray today just to ensure his lungs are still looking good.  Praying for that!

Platelets:  His platelets have gone up to 33.  While they are still low, they have stopped the downward trend!  Praise God for that specific answer to prayers!

White Count:  His white count is a little elevated which can be signs of his body fighting an infection.  The doctor believes it is more likely due to the steroids as he is on three major antibiotics.

Abscess:  They are also not worrying about the abscess yet.  The challenge is that they would like to do a CT with contrast, but his kidneys cannot handle that right now.  Since he is on those antibiotics, they are okay to wait until they can get him down for a CT.

Goals for today:
Kidneys - making urine & they can pull 100mL/hr from dialysis
Lungs - X-ray shows good lungs, Vent can be brought down
Platelets - continue to rise

Thank you all for your prayers!  He is getting better and you are all helping him and us through the process!  Truly, thank you!  And - Praise God for all this progress!!! 

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