Wednesday Morning Still in the ICU

Justin took his turn sleeping in the PICU last night then headed off to work early.  Last night was fairly uneventful.  She came off the oxygen and used her CPAP overnight and continues to keep her sats in the 90s today on room air.

Her pain is being pretty well managed, but it's also keeping her pretty sedated.  She is failing to urinate on her own, so they are having to straight cath her every few hours.  She's receiving a bladder scan as I write this.  She also hasn't had a BM in about 5 days so they are giving her another dose of Miralax today to try to get things moving again.  I'm a little worried about a possible explosion since her incision runs right down to her bottom--keeping that incision clean is vital to preventing infection.

Annie tolerated her pedialyte well last night, so they started her regular formula at a slow rate and this morning she's worked up to her regular rate.  So input is going well, but output not so much.

The swelling in her face has gone down ever so slightly, but it is still difficult for her to open her eyes.  The pressure sores on her hips have disappeared, but the one on her forehead still looks pretty bad.

The drain from her back is still producing about 50-60cc of blood about every 12 hours, so they are checking her hemoglobin to make sure she's not losing too much blood.  The bleeding has increased since yesterday, but they suspect that's because she was a little more upright in her bed yesterday and actually sat on the side of the bed for a couple minutes too.  The plan is still to remove the drain later this morning and change the dressings that have become saturated.  And the talk is that by later this afternoon she'll be transitioned to an intermediate care floor, which would give us a little more privacy and a solid door to her room!