10:00 am Update:
Dad was stable last nite. BP was on the low end 100-110/40-45 supported by 10ug/kg/min Dopamine. Not so alert.
This morning, dad looks lethargic and not so alert. Mild fever with temp 38.0oC. Breathing a bit heavy.
Parameters:(7am)
HR=90-95, BP=102-106/40, BPM=29-31, SPO2=99%, SIMV=6, PEEP=5.0, FiO2=35%,Ps=15.
ABG reults:
PH7.362, BE(B)=-5.4mmol/L (acidosis), tHb=8.7g/dL, O2Sat=98%, Ca=0.95
-> Dr Jong ordered Bi-Carbonate to neutralise the acidosis.
DRs Comments:
Dr Jong-blood BE need to be neutralise, give Bi-Car.
Dr Cheong - 2 spikes of fever with temperature about 38.0oC. Infection still on, may be new one. gave a dose of bactrim yesterday afternoon. Consider another dose of Vancomycin but need Dr Lye opinion as it affect kidney function.Dad immune system is low.
Dr Ting - Nucleated RBC =2 means less degeneration of RBC that is good. Haemoglobin 8.7 low, need 1 bag blood transfusion. Platelet 84 ok. WBC=11.xx increased indicate new infection.
Dr Tang - less alert.
Dr Teoh - Tummy ok.
Dr Lye - got fever, will give one more single dose of vancomycin (@11:45am)
Dr Lam - came. No comments 7 said infection is take care by other Dr. (4.30pm)
To summarise, dad is less alert, may be due to blood acidity (ie BE(B)=-5.4) arising from metabolic acidosis . Will neutralise it with bi-carb. Will do dialysis today to remove 1.5 ltr of fluid & toxin & transfuse 1 bag of blood. Dad has mild fever, hence Dr Lye (under the request of Dr Cheong) will give a second single dose of vancomycin to treat the fever.(may be new bateria)
11:pm Update:
Whole day, dad is not alert.Did open eyes when called. Today dialysis remove 2 ltr of fluid. Develop fever with temperature. Breathing with effort.
Prayer Points:
1)Thanks God that kidney start flowing.
2)God will strengthen dad's immune system to overcome all the bacteria attack.
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March on with prayer and petition because "He who comes to God must believe that HE is, and HE is a rewarder of those who seek HIM" Heb. 11:16
Jesus delivers our healing.
1 Peter 2:24 "HE Himself bore our sins in HIS body on the cross, that we might die to sin, and live unto righteousness; for by HIS stripes you were healed."
Tonight I come across the following verse that I find assurance in that I want to share with you
"Now to Him who is able to do exceedingly abundantly above all that we ask or think, according to the power that works in us." (Ephesians 3:20)
Let our hearts be lifted when we see good things flowed out of this difficult situation. Our time spent in reading His word, praying, sharings will bring good fruits. Keep up the good work of meeting together daily for prayers & bible study. I follow your good example. Joyce & Jean also learn to pray aloud now.
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