Upenn.... Stuff.... Things.... Whatnot....
Just an FYI....

Kim's not done Dialysis today because her blood pressure is too low...

They are going to be putting her on a continuous dialysis that is a lot more gentle on the system as it's a slower process....

Her heart rate is slower (good thing) and blood pressure is lower (bad thing) due to the fact that they moved her from DOBUTamine to Milrinone in hopes of lowering the heart rate... which it did...

They are hoping to see an improvement in the blood pressure over the next several hours as that's what the milrinone and dobutamine were all about...

More from me later... At least UPenn has WiFi... I'll try and work on the sites a bit....

-Piper

Labels: cardioaversion, CHF, Congestive Heart Failure, Dialysis, Dialysys, Dobutamine, Failure, Milrinone, Stuff, University of Pennsylvania

- posted by GeekBrat @ 3:37 PM

 
Another kim update for the day....
Well the Cardioaversion or TEE (heard it caled both but I guess they could be different) will not happen today. They are going to do a chest x-ray to lok at the fluids on the lungs :)

They are tenatively scheduleing for tomorrow but it's all still up in the air.

The are afraid her oxygen absorbtion is too low for the TEE (which I just found out is when they use a probe through the stomache to check out the heart to check for blockage). They are currently afraid there is a new blockage.. Joy...

The MICU attendings have come by and said she's too healthy to move to MICU which is good, but we never knew they were looking into that... Aparently they might do a drip to remove more fluid. They just lowered her Bumex (diuretic) drip to 1.6mL/hr it was 3.2mL/hr...

They are doing 'blood gas' right now... will post more when I know more.

-Piper


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Labels: cardioaversion, CHF, deborah, KimEM, MICU, TEE

- posted by GeekBrat @ 4:47 PM