Our night did not go as planned, and we ended up in the ICU around
2am because Raul's blood pressure was too low. They had been trying to
manage it on the BMT floor, but even with fluids and a lower dose of
dopamine it was not coming up enough.
He started getting
dopamine and epinephrine in the PICU, and now they are going to switch
the dopamine to something else. He is not acting any different, and
actually slept well once we got down here (he had been refusing to go to bed upstairs and we had just fallen asleep when they decided to move him).
Moving him was a project, with many people along for the walk down.
They moved him very quickly after deciding he needed to go to the PICU,
but I had just enough time to grab the things we would need
overnight/this morning.
We do not know exactly what is causing
his low blood pressure, most likely either infection or his TTP. He is
now on about half a dozen antibiotics, so if it is an infection we will
hopefully see improvement in a few days. If it is related to his TTP, it
is the plasma that will help. But in the meantime he is stable as he is
getting the medications to keep his blood pressure in the normal range.
The doctor seemed optimistic that we could only have to be down
here a few days. He can go up to the unit on a small dose of dopamine,
but not the other "big gun" blood pressure medications. Raul was pretty
anxious last night about switching rooms after being in one room this
whole time, but was happy to get to keep his same bed!
He is
getting dialysis now, and we will try to pull some fluid as long as he
tolerates it. It sounded like we may wait to do the plasmapheresis
tomorrow and just give him regular fresh frozen plasma (FFP) today, but
we will see.
No comments:
Post a Comment