Sam’s feeds have been stopped again; there is blood in his replogle. His CRP is up again; he’s getting platelets, red blood cells, vancomycin, and gentamicin (antibiotics). He’s currently still on CPAP, but his blood gas levelsl are heading in the wrong direction.
No more blood has been found today. The blood gas levels keep fluctuating, some get slightly better, some get worse. As of now, he’s still on CPAP but teetering over the edge. If he can’t turn things around, they’ll reintubate him again and put him back on the ventilator. This is so frustrating because this time he hasn’t forgotten to breathe, that’s not an issue at all. He’s also keeping his oxygen saturation nice and high. He just can’t get rid of the carbon dioxide, can’t keep his pH in balance, etc. Before I left this evening, they put in an arterial line so that they can get better blood reads on him, they’re hoping that all the heel pricks just aren’t as accurate or truly reflecting what his body is doing. As long as the arterial line stays in, they won’t have to prick him as often.
As far as what happened today with the blood in his replogle, we don’t really know. There are so many issues he’s juggling that it could be any one of them, a combination of all, a combination of a few.