We found out from the resident at the NICU that Briana wasn't doing very well this morning. She had a couple bad spells this morning early before rounds which required them to turn up the o2 on her ventilator and give her stimulation until she came out of it.
After doing rounds they found that Briana's bed was set too hot and that her temp was a little too high as a result. Her temp probe was not connected to her because the nurse took it off last night, so the resident put it back on her this morning. This is the 3rd time her bed temp was set incorrectly. Her bed was set too cold twice before and she got hypothermia. This didn't make us very happy.
Briana's blood gas level is also abnormal this morning, it was high so they raised the o2 level on her ventilator. They did a CBC to check her red and white blood cells, hemoglobin, etc. Her blood is on the acidic side (acidic vs. basic) and they want the equilibrium to be normal so they did another blood transfusion. Her white blood cell count is also high so they think she has an infection. They are going to take Blood and Urine cultures to check for bacteria and viral infections. After the cultures have been taken, they will start her on 48 hours of antibiotics. They are also going to do a Lumbar Puncture (spinal tap) to draw out CSF fluid (spinal fluid) to check for meningitis. She's going to get poked a lot today. At the time of giving consent, I requested they give her a local to numb the area before doing the Lumbar Puncture. The resident said that it can take up to 2-3 attempts to get the fluid they want. This way, Briana only feels 1 prick in that area. I've had one before and they're not fun. In a nutshell, she's feeling pretty bad today.
Malia and I are on the way to see her now.
Thursday, January 8, 2009
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