Friday, October 20, 2006

10/20/06 - NICU Day #18

  • Midnight labs -- Crt 3.0, K 6.2 -- he got a dose of Kayexalate.
  • Morning labs -- Crt 3.1, K 7.3 -- more Kayexalate, insulin, glucose, bicarbonate. He didn't get calcium because his is already elevated. The base excess on his gas is -6.
  • His nephrologist recommended pushing the dopamine from sub-pressor doses to pressor doses to try and increase the renal blood flow and glomerular filtration. He doesn't think dialysis is necessary just yet but he will re-evaluate with the potassium levels.
  • Increased FiO2 (now 60%) is now required because of fluid retention in the lungs. He is, however, ventilating well.
  • The fellow will try to put in an arterial line this afternoon to follow the potassium and so that Daniel won't need so many heel sticks for blood.

1 comment:

Michael said...

WE LOVE YOU!!!! AND WE ARE ALWAYS THINKING OF YOU!!!!