|Laura Update 5 - How Low Can it Go?
||[Apr. 1st, 2009|09:39 am]
As mentioned, last night was busy. The reason? Laura's blood pressure was way, way low. I remember a reading of 72/41, with and average vascular pressure of 47(?) - I think there were lower good readings, but I'm running on little sleep.|
This concerned the overnight doctors quite a bit. Laura to poked and prodded a lot, had several more blood draws, some ultrasounds, even more EKGs, and was even taken for a CT scan. The doctors' first guess was simple dehydration - after all, Laura had been kept without water from midnight to 12 pm, when she finally got some IV fluids before surgery.
After all the testing, it was determined that her heart was beating well, albeit really slowly (pulse rates in the 40s and 50s), and that she was, indeed dehydrated. They pumped a lot of IV fluids into her, and her blood pressure finally moved up into a range that the doctors felt comfortable with.
Along the way, Laura's small veins forced them to move her IV tube from her arm to her neck, and to put in a line into the artery on her right arm. This latter move, while complicated, had two big benefits: it allowed them to monitor her blood pressure in real time, so they could ditch the blood pressure cup that makes sleeping difficult, and it gave them an easy way to draw blood for testing, a painfully regular procedure during these last two days. The blood draws were getting bad as they had to switch to progressively smaller and harder to target veins. Lots of searching around with the needle, and slow blood flows.
They are going to keep Laura here in the Cardiac Care Unit for at least some of today. At some point, if all goes well, they'll move us, again, to a non-ICU bed. Sometime after that, if no further complications arise, we'll go home. The schedule is so up-in-the-air one can hardly call it such.
Again, thanks for all the prayers and positive energy and offers of help. I've been reading them aloud to Laura - she finds them quite comforting.