Wednesday, December 16, 2020 3:40:46 PM
From Mike - Spoke to Nurse Chino this morning. Delinda hasn’t been really comfortable over the last couple of days. She had a nose bleed that started some time over the weekend. Cannula in he nose, continuous O2 flow irritates the tissue and blood thinners make it worse. Yesterday that had decreased her ECMO sweep to 1.0, but then had to pack her nose and therefore change from a cannula to a breathing mask. She then felt a little short of breath. I would have too! Nose is still packed to ensure bleeding stops. Decreased blood thinner slightly to help. Still on mask to prevent further irritation and deliver O2 despite packed nostril. Brought sweep back up to 1.5. All in an effort to tweak support down but keep her safe and comfortable.
ECMO still at 21% doesn’t go lower. Sweep at 1.5. O2 saturation still okay. Will do ABGs later to see if they can reduce sweep again.
They will begin the next round of Aviptadil in about an hour.
I am thankful that Dr. Youssef is willing to continue using Aviptadil to try to improve Delinda’s condition and that the FDA approved it. I am thankful for the improvement it has brought so far. I pray that it continues to help. I pray that the extraneous issues that are tormenting Delinda right now and leaving her so tired will clear and let her heal in peace.
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