Friday 8/28/09
Luke, the night nurse said that Mike has had a lot of lung secretions. He is still running a fever. His vent settings have been raised to 60% fiO2 and his oxygen saturation hovers at around 91% ( 90-100% is normal). They were waiting for the morning lab results. The kidney function tests (BUN and Creatinine) were elevated but when you calculate the ratio it is still pretty good and doesn't indicate pre-renal failure. (yes, I calculated it and the ratio is 16 for those of you who care to know) His urine output was better during the night. His antibiotics were changed to vancomycin and zosyn (bring out the big guns!) Blood, urine and lung secretion cultures have been taken to see if they can determine a source for the fever. Depending on his breathing, they may take him to surgery to change out lines and whatever else. I will talk to Bette (mom) a little later.
His sedation is for comfort now. He is not as snowed as a couple of days ago and can nod his head when asked questions.
More later,
and so we go
JaCee