"For I know the plans I have for you," declares the Lord, "plans to prosper you and not to harm you, plans to give you hope and a future."
--Jeremiah 29:11

Saturday, August 29, 2009

Great Night

Connie had a great night. He settled down with one dose of Ativan and had nothing after that. He's now on room air as he d/c'd the nasal cannula himself! The plan for today is to go down on his morphine drip, get off the dex, decrease lasix to Q12 from Q6 b/c he's putting out more than what his going in, and watch his crit. He's a little borderline, so if he needs volume, it will probably be blood. They want to get him eating today and they are splitting the mediastinal chest tubes so that they can tell if either one has slowed down enough to come out. That decision will probably be made tomorrow. They're keeping the arterial line in for today, but I will still be able to hold him. He's been such a good boy. Greg stayed with him through the night and when he came back to the room he said that Connie did some cute things but I was so tired I can't remember what they were. I'll ask him later after he naps.
One thing they are watching are some arrhythmias. I'm not sure what exactly, b/c it was during the night, but he's having extra atrial beats, and quite frequently. The night nurse felt it might be due to the way his pacer was programmed in the OR, but on rounds they discounted that and said it was fine and the ventricle was sensing the beat and responding appropriately or something to that effect.


Lisa P said...

OH what a great update! I'm so relieved for you all that Mr. C had a peaceful night - and on minimal meds! I'd be willing to bet that most of his agitation was from that doggone breathing tube - so glad its gone. Keeping fingers crossed for a GREAT day!! Can't wait for you to be able to HOLD HIM!!

Lisa P.

stove said...

Yay Connie!! He knew he was ready for room air!

Anonymous said...

So happy to read first thing this morning that Connie had a good night. Will pray that he has a great day and eats a little something.

H. James said...

So glad he had a good night and is holding his own off the vent. Maybe his extra beats are due to something simple, like low potassium. We'll be watching for more updates!