February 28th 2017 (0830)

Arlyn did well overnight…the babies lungs show quite a bit of atelectisis (fluid) bilaterally and the left lung that yesterday looked a little collapsed looked better on chest X-ray this morning. They have decided to make a few changes this morning including continuing to wean from the vent, reduce and likely turn off the continuous fentenyl drip replacing it with PRN fentenyl bolus morphine as early as this afternoon. They will also continue to wean the cardiac medication as tolerated currently she is on milrione and dopamine. Arlyn hates Chest PT and baths but gets through them and then settles down quickly. Arlyn came off the calcium drip when she started TPN (artificial nutrition) and calcium was added to her fluid. This morning her calcium was still low and she required a dose. Her wound vac is not putting out anything which is wonderful.

Arlyns lab work this morning all pointed in a positive direction. Her metabolic panel showed that her glucoses continue to be stable, her kidney function ( affected by diuretics: lasix) is better. Her WBC count continues to stay down (8.4). They increased her lipids yesterday and her trigliserides bumped up but they appeared better today. Her T-max 36.6 so this is also good.

This morning the focus seems to be on her lungs, she is being aggressively turned, bag lavage suctions, Chect PT and suction. Her lungs sound corse throughout, she received albuterol once last night or wheezes.

Mommy and Daddy are missing the snuggles with Arlyn. hopefully after a few days she can be extubated and we will be able to hold her. All we need is more time and continued love and prayers.