Bobby had a great night. The anesthesia has worn off but he is still sleeping off the effects of his surgery. He slept comfortably through the night. We're fighting off a bit of a fever - it got as high as 102 last night, then fell to normal now is back up around 99. They have him on Tylenol, but aren't concerned that its anything serious. They also started the process of weaning him off of oxygen - his saturation level fell into the high 80s/low 90s, which is still higher than they've been since he was born.
For the most part, morning rounds brought good news. They are going to wean Bobby from his IV blood pressure medicine, remove his urinary foley, and start him back on his g-tube feeds. The latter happens very slowly - we start at 10 ml of Pedialyte an hour and go from there. (10 ml is equal to 2 teaspoons). But all of these things are about getting Bobby back to normal as quickly as possible.
There are two concerns other than the fever. One is that Bobby's urine output is a little low, meaning he might be retaining fluid. However, none of the other telltale signs are there (most notably he's not puffy) so they are giving him a diuretic and adopting a wait and see approach. The second issue is that Bobby has developed three painful looking blisters on his left underarm. This is a not unusual complication from the wash used in surgery.
The keys for us now are Bobby's chest tubes. Waiting for his chest cavity to drain its blood and mucous is the thing that will keep us in the hospital the longest (assuming no other complications - and I've decided to assume this). So far they are not draining a lot, which, like the majority of the morning report, is good news.
Now we wait for him to wake up. That will bring a new set of challenges, I'm sure.
No comments:
Post a Comment