Sunday 08/30/09
Luke (night nurse) said "he's doing great!" Remember I told you that it really takes a lot to get nurses excited? So this must be good news!! Mike has remained stable throughout the night. They are trying to wean the sedation medicine, propofol and so they have started seroquel, which in small doses, has a tranquilizing effect and is good for weaning. And no, just because it's a bipolar medicine doesn't mean that Mike has that.

I am finding that the course of burns are, in and of themselves, a different breed of injuries and have their own definition of how to treat and heal and seems to follow no other course that I have seen... sure, I have seen and treated first and second degree burns, even referred patients to the burn unit for minor <1%

Continuing; Mike is on pressure support again (yay) His vent settings are 50% fiO2. Renal function is still not pre-renal failure (BUN 52, Cr 3.2) The good news about this is that his urine output has gotten better. His blood gases are good. He has completed the vancomycin protocol, and remains on zosyn as the antibiotic. It looks like there are some preliminary growths on the lung cultures but blood and urine are still pending. Luke RN said that his feet are looking pretty good now. His face is burned from the nose-line up to the top his head and over his scalp. He said that, because the face is so vascular and has a great blood supply, that sometimes the body will heal without grafts. It is going to be a waiting game. Pray for patience! and healing, and good lung function, and....and..... and......
More later,
and so we go
JaCee