Sedation and blood pressure update.

After some trial and error it seems that we’ve got Parker a little more under control for now. Today, about every hour he’s been wiggling around, thrashing his head a bit, and we thought he was waking up. So, he was getting bolus sedation medications. Unfortunately, this was causing his blood pressure to drop dangerously low. At some point it was decided that because Parker is a notoriously restless sleeper that maybe he isn’t waking up after all but is just doing his usual restless movement.

Theory is that we were giving a little more sedation than was really needed and that was driving down his blood pressure. But to minimize the movement- even the restless movement- we needed to do something else. So now they are doing a paralytic as well. That seems to last an hour to an hour and a half. The catch with the paralytic is that you really don’t want to be paralyzing someone who is actually awake . . . so they are double and triple checking all the signs that he is sedated before they give the paralytic alone. If they think he might actually be waking they are giving sedation in conjunction with the paralytic.

So far this is working and has allowed us to avoid adding an additional drug to the mix specifically for controlling the blood pressure. Of course, all of this could change overnight . . . still a moving target.

In other news, the drain tube for the surgical site at the rib was removed today. The site looks good. It’s about a 2 inch incision on the top rib on the RIGHT. Still haven’t really found anyone to ask about the whole left hand rib thing that the surgeon we met at the airport told us about.

His fever has lessened, which is good. We should get the cultures back tomorrow, but they expect them to be negative. Apparently it is very, very common for an extended fever after this particular surgery and they assume it has something to do with the healing process.

4 Responses to “Sedation and blood pressure update.”

  1. 1 carol york April 13, 2008 at 12:04 pm

    Thank you so much for keeping me posted. My prayers are with all of you especially Parker. You have all earned your halos.

  2. 2 Sarah Nowell April 13, 2008 at 12:35 pm

    Hi Suzanne-You guys are in my thoughts and prayers. Thinking of you. Thank you for the email updates. xoxo Sarah

  3. 3 Happy April 13, 2008 at 1:36 pm

    Glad they figured that out…I can see that restless sleeping thing, Anika slept in our bed from birth until…until the restless sleep thing started and she was kicking us and thrashing around. Now she wants to sleep in the bed when Kent’s away on business and I’m like…augh… I love to snuggle with her, but she keeps me up!
    We’re still praying for Parker and for you guys! Thanks for the updates!

  4. 4 thai checel April 14, 2008 at 3:09 am

    hey suzanne –
    thanks for the updates and the pics – it’s good to document these things – you can use them to show parker one day. we have a restless sleeper too – learned the hard way this weekend, we were in palm springs for a wedding and thought it’d be cute to have her sleep in the bed with us in the hotel – wrong. she squirmed all night and we hardly slept!
    hope your boy is sleeping well – sweet dreams, parker the fiery redhead!
    – thai, david and mina loy.

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