Wisdom Heart

Sophia's heart rate continued to rise overnight and into the morning. At one point this morning it reached as high as 188 bpm. The consensus seemed to be dehydration probably brought on by a combination of vomiting and diuretics (lasix). There is of course the possibility she is developing an infection. She has been getting motrin every four hours and still has a slightly elevated temperature. Her CVC test was on the high-end of normal, no strong indications of infection. It is a blood test I am guessing it tests for bacteria colonization from the central line. Her central line was removed yesterday. They took blood cultures and a urine culture. She got three IV fluid boluses and is receiving maintenance fluids.
Her cardiologist had an EKG and cardiac ultrasound done. She has no fluid around her heart and her xray showed her lungs were pretty dry.
She is still getting her respiratory treatments every four hours.
She lost all three of her IVs this morning. So, vascular access was here twice this morning. First to draw her blood cultures and then to start a new IV.
They are treating her for infection with IV antibiotics even though her cultures won't show anything for 48 hours.
For now, she seems to be responding well to the fluid boluses. She is getting a tiny bit of oxygen just to help her breath easier. Her heart rate is trending down and she is finally resting.
This was an incredibly difficult morning. There was one test or procedure after another and a half a dozen people at a time in Sophia's room from about 7am until just about a half hour ago. The ICU attending even came up to evaluate Sophia with the possibility of going back to the ICU.
We are all pretty wasted. You might imagine that I need to know what is going on the whole time. With all this activity and multiple procedures going on at once I was about to completely shut down from information overload.
I will try to enjoy a break while we have it.