Back dated: Bed 30 (again)
I was right! Here I am sitting with bed 30.
So when I last left they were weaning his 0.4mg/hr hydromorphone, 5mg/hr midazolam and 18mls/hr propofol infusions on a nightshift.
My day started with the night staff praying for my baby, that he (she thought the baby was a he) a God-fearing person.
Sounds good to me, I agreed with her that I am praying for the baby every day because it is essential.
(I'm not religious but I by no means deny that prayer is a good thing).
There's some bible verse she's taped to his bed also. He is listed as roman Catholic on his file, and the priest had been around last week.
Night weaning is always terrible, staff always freak out easily and don't give things a chance.
They had 1x raised ICP during a roll (well thats why you don't look at ICP during a roll) and you'd only check after- but nevertheless, he got bolused sedation and that settled, and come day time, they turned off the sedation and low and behold he was fine throughout the day.
He's a GCS 11 E4V1TM6,- will wiggle the thumb and forefinger of the R) hand but nil other fingers, will track eyes to left if you ask, but largely his eyes stay looking towards the right. I'm not sure what that is about.
Apparently, he can move his R) foot toes too but I didn't see that on this morning's assessment.
Overall he looks rather alert. When I arrived the night staff had lullaby from youtube playing in the background (much like you'd have in special care nursery). It's 0800 now so I changed it to 80s rock playlist. No idea what he likes to listen to, but I figured 41 year old male probably wouldn't mind some generic pop rock from the 80s.
I wonder if we'll do any weaning today.
The EVD has been raised from 15 to 20 so that's a sign it might be being weaned.
I was a princess today and driven the barely 2km from home to work despite being a nice sunny (a little chilly due to the wind) day because Pete was going to do groceries and was about to leave right at the same time anyway.
You can see movements externally now. I figured that out on my Tuesday day off whilst I was being lazy at home. It's kinda freaky. I thought I had so much padding down there that it couldn't possibly push through all that subcutaneous fat but there you go.
Last week when I was rolling bed 29 I could tell the baby kicked the patient. I asked the patient if she felt it --and she did. That was pretty funny. She's a long termer ex-covid now covid pneumonitis in bed 29 who, somehow, despite being likely for the ward on my days off. So when I arrived back to work after days off, I was surprised to find bed 30 still in his bed and essentially waiting for me, and that she too was also still here, across the way, in bed 29 still on a ventilator. They were weaning well but her anxiety has set her back to cuff up, and she's back on the ventilator to "give her a break" from the breathless feeling that accompanies being laid flat or moved about.
Sleep is better. I can return to sleep easily after I wake to pee, and I've made it all the way to 0600 a few mornings in a row so that's been nice.