10:00 am Update:
Dad was stable last nite. BP was on the low end 103-114/40-45 supported by 11ug/kg/min Dopamine. Not so alert.
This morning, dad is a little bit more alert. High fever with temp ranging 38-39oC. Breathing a bit heavy & chilling once awhile.
Parameters:(7am)
HR=79-81, BP=94-100/40, BPM=33-39, SPO2=100%, SIMV=6, PEEP=5,Psupp=15,FiO2=35%,Ps=15.
ABG reults (2008.11.18 07:22):
PH7.302, BE(B)=-11.0mmol/L (acidosis), tHb=8.6g/dL (low), O2Sat=97.3%, Ca=0.93
-> Dr Jong ordered Bi-Carbonate to neutralise the acidosis.
DRs Comments:
Dr Jong - give Sodium Bi-Carbonate to neutralise BE(B).Cleaned CVP line. New infection developed & ponder source is from where?
Dr Teoh - Tummy ok.
Dr Lye - High fever, new infection, add on 1 new antibiotic - Meronem.
Dr Cheong - New infection, give Meronem & will see result in 1 or 2 days.More alert today.
Dr Ting - tHb=8.6low, need transfuse 1 bag of blood.
Dr Lam - no comment.
Dr Tang - New infection, need 48 to culture inorder to know the type. Now cover with Meronem.
To summarise, dad today more alert but develop high fever(38-39oC) which means new infection. New antibiotic (meronem)is given.
11:00pm update.
Dad blood become very acidic, Dr continue to give bi-Carb to neutolise. Fever with temp ranging 38-39oC. Develop new infection.
Prayer Points:
1)God will strengthen dad's immune system to overcome all the bacteria attack.
2)Overall planning for dad, let God decide what is best for dad.
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Today I want to sharing the following few verses with you. Do not be anxious, broken spirit and worries but everything by prayer and petition to our God and he will take care of our needs.
Then Jesus said to the centurion, "Go your way; and as you have believed, so let it be done for you." And his servant was healed that same hour (Matthew 8:13)
And it happened that father of Publius lay sick of fever and dysentry. Paul went in to him and prayed, and he laid his hands on him and healed him. (Acts 28:8)
"A merry heart makes a cheerful countenance, but by sorrow of the heart the spirit is boken." (Proverb 15:13)
"A merry heart does good, like medicine, but a broken spirit dries the bones." (Proverbs 17:22)
"Anxiety in the heart of a man causes depression, but a good word makes it glad." (Proverbs 12:25)
Thanks Andrew, for reminding us of God's powerful words which sets us free from feelings of despair and sorrow.God has been good in drawing us closer to Him and to each other. Through this adverse circumstances, we have cultivated the habit of on/off fasting (according to individual convictions) and praying. The group supportive spirit is high. God wipes away our tears and create venue for ventilating our needs through group daily bible study and prayers. His unfailing words of love through Psalms has sustained us. Every so often, we are overwhelmed by all the unknown factors. But God always made a way when there seems no way.This morning, Dad opened his eyes and mumbled blurr words unexpectedly after 2 days of silence. What an encouragement! Mum's flu is clearing up and now can enter dad's room with double masks. God hears our heart cry!
God reminded me of the need to be still (silent) before Him and hear Him speak regarding the fight against the infection. He said "Do not be afraid, stand firm and you will see the deliverance the Lord will bring you today. The "infections" (my version) you see today you will never see again. The Lord will fight the "infection" for you; you need only to be still. So, why are you crying out to me? Tell the Israelites to move on. The time has come for us now to pray more aggresively against the evil ones and declare the time frame in this battle. Dialogue of moving on is happening among siblings and with doctors. Mum's heart is more ready for such discussion too. After last night heart wrenching prayers, today we feel the readiness to raise our staff and stretch out our hand over the sea to divide the water so that we can go through the sea on dry ground. Please pray with us in taking this step of faith as we prepare our hearts.Appreciate your love for dad, Freda
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