Monday 09/14/09:
Karen was the nurse tonight and brought me up to speed over the past 24 hours. Mike has been running a fever and they are trying to find a source. They will look at the arterial line and maybe change it. There were some issues with blood pressure and so they decreased the propofol, which can lower blood pressure. The result is that the blood pressure stabilized (80's/40's) and Mike is a little more awake. The good thing about him being more alert is that he is able to cough. Coughing means he can clear all of the junk that's been deep in the lungs while he's been sedated. There is still elevation of the sodium level. He has had a slow litre of fluid(D-50) to try to decrease it. The level is still 151 (down only 2 from yesterday). He has a scattered rash that appears like yeast on his neck, back flanks and head. They are treating it with keeping the areas clean and dry and topical nystatin right now. His blood gases are good. His white count is 13.2 and his hematocrit is low-is at 23.

One of the nurses said this was going to be a roller coaster ride. Ups and downs with burn patients. They might not do surgery on Tuesday until they find the source of the fever. (then they can "fix" it)

More later,
and so we go
JaCee