- 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.
Friday, October 20, 2006
10/20/06 - NICU Day #18
Subscribe to:
Post Comments (Atom)
1 comment:
WE LOVE YOU!!!! AND WE ARE ALWAYS THINKING OF YOU!!!!
Post a Comment