I left the PICU for a bit to see if me leaving the room would help him fall asleep and realize it was not time to play. When I came back in to check on him I ran into Dr. Bromberg. He asked how he was and I told him he seemed restless and told him about the two bouts of diarrhea he's had tonight and the rash spreading on his chest and trunk. I also mentioned that his breathing seems more like what he sounded like when we came to the hospital and that he's coughing and sounds a little wet when he's laying down flat. He followed me in the room and sure enough, little man wasn't asleep yet. Dr. Bromberg said he thinks he's backsliding. His feet are cold, his liver is bigger and his lungs sound wet. He's putting him back on the Milrinone tonight and going to rethink tonight about the timing for the cardioversion and make a decision. He doesn't want him on the milrinone much longer because he said it's not very good for the heart either.
So, back to square one.
Hopefully once the meds are restarted, he'll get some sleep. . .and momma too.
Say an extra prayer tonight for wisdom for Dr. Bromberg. This decision is a big one.