Plans for removing Emerson’s breathing tube have been pushed back. She continues to ride the vent, and attempts to stimulate her today were unsuccessful. All further trials have been suspended and everything will be re-evaluated tomorrow morning. We’re focused now on keeping her comfortable overnight on the vent.
The second organism growing has been identified as a coag-negative staph – it’s a fairly “wimpy” bug, all things considered, & is unlikely to be causing her symptoms. What she is fighting is Klebsiella sepsis and it’s initial hit, septic shock.
Eme’s kidney function decreased throughout the day and managing her fluid status has now become a primary concern. As fluid accumulates in her body, the likelihood of a successful extubation decreases. They’re changing meds around – stopping home meds & starting a drip – in hopes they can increase her urine output. Unfortunately more “standard” methods of diuresing are not options due to her underlying diagnosis of DI.
Thank you so much for your kind & supportive comments. I feel like we’ve been thrown back into a firestorm, and each one reminds me we are not here alone. Thank you 🙂