Friday, December 22, 2006

Perfusing

Verb 1. perfuse - force a fluid through (a body part or tissue); "perfuse a liver with a salt solution"

I received a phone update on Wren at 3am.

He is acting "pretty comfortable" despite being rolled and managing to sleep however the planned fluid decrease is not going as smoothly as hoped and he is still only -20 on his fluids and he needs to get rid of a lot more. Despite an increase in the diuretic Wren's urine output fell slightly over the past 2 hours. They feel this may indicate that his kidneys are not perfusing as well as they would like since the dopamine was turned off.

So... Dopamine is back on at 5 mcg/kg/hr in hopes of seeing an increase in output.

His BPs were not low so its not as a BP support this time... just in hopes of getting more response from his kidneys. Everything else looks stable.

I shall get another update first thing in the morning.

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