Virginia is very slowly improving.
The nurses occasionally back off on the sedation to assess her. She is drowsy much of the time so as to heal. She expressed wanting the tube out but it is not safe yet.
Clinical Statistics:
I use numbers to understand and express to the reader her extent and speed of progress.
Ventilator: SIMV or Number of breaths/minute = 6 (was 8)
P Supp or Pressure support = 8 (was 10)
The goal is zero on both of these If she can tolerate zero she is close to having the tube out.
Blood glucose was reported good (Tuesday early night shift) about 102. Perfect "tight glycemic control" is under 110 (110-140) so this is good.
Her blood pH (from arterial blood gases) is 7.35 (normal = 7.35 to 7.45). She was 7.31 earlier (too acid).
The nurses occasionally back off on the sedation to assess her. She is drowsy much of the time so as to heal. She expressed wanting the tube out but it is not safe yet.
Clinical Statistics:
I use numbers to understand and express to the reader her extent and speed of progress.
Ventilator: SIMV or Number of breaths/minute = 6 (was 8)
P Supp or Pressure support = 8 (was 10)
The goal is zero on both of these If she can tolerate zero she is close to having the tube out.
Blood glucose was reported good (Tuesday early night shift) about 102. Perfect "tight glycemic control" is under 110 (110-140) so this is good.
Her blood pH (from arterial blood gases) is 7.35 (normal = 7.35 to 7.45). She was 7.31 earlier (too acid).
1 Comments:
Thank you for keeping this up on a daily bases, I really appreciate the information and I know it's hard for you to find the time right now. donna (tigmis@aol.com)
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