UPDATE:
Paul’s afternoon carried into the evening. After shift change, he was thrashing again. He needed multiple people to hold him down. When that happens, it’s starts a cycle:
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bolus of pain / sleep meds
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those meds drop BP
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lower BP makes it hard to pull more fluid through dialysis
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fluid on lungs makes it difficult to remove vent
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vent is main reason for his agitation.
I cannot imagine what he is going through. I have seen his eyes open. While they are still his amazing eyes, they are glassy and he looks very far away. They tell us he is in a sort of “groundhog’s day”. Due to all the sedation, he does not remember anything. Each time he wakes up, it’s like it’s the first time.
Tonight’s prayer requests:
- pray for a good night sleep for everyone.
- pray for the right mix of medicines to keep him calm, help him heal, and help him get off of the vent
- pray for his kidneys.
I will get the labs and send in morning report.
