We backed off the diuretics just a bit so that her lungs and heart can continue to adjust to the new Fontan circulation. Our next appointment is Monday. Thank you all for the thoughts and prayers!
Friday, April 10, 2015
Caroline made it to the post op appointment without having a re-admission! We were warned as I practically ran out of the hospital that her lungs were exceptionally wet and that a re-admission was not only anticipated, but would NOT be the end of the world. She has proven them wrong!
Friday, April 3, 2015
We were sent home yesterday! After having labs and Caroline's potassium levels increased and a ECHO that showed a good circulation...we waited for over 3 hours to get word that her chest X-ray (done after the second drainage tube was pulled) showed no change from the previous one done the day before. The nurse practitioners and I decided that I could do exactly the same thing for her at home as in the hospital. We increased the diuretics for take home and added a potassium supplement to prevent the rhythm issues that happened earlier in the week. If she stays asymptomatic, I will take her back to the hospital for a surgical post op visit on Wednesday. So, we're praying for PEE!!! A lot of it. We need her lungs to clear up and the fluid around them to dissipate. I have been warned that we may be readmitted at our visit Wednesday if she looks worse. I also have a laundry list of signs to look for in case she needs to be taken in sooner. So far, she's doing great (as far as I can tell)!
Thursday, April 2, 2015
Wednesday, April 1, 2015
Every day I feel like I hear, "Just one more day" from the doctor or nurse practitioners. Caroline had 4am labs again followed by a dramatic and sassy trip to X-ray. I realized that something was up when rounds were later than usual (after 9), and the NP informed me that her right side (where the tube was pulled days ago) has accumulated fluid along with her lungs. She's on 3 types of diuretics to counter this (Lasix, Aldactone, Diuril) and that in turn is causing her potassium levels to drop dangerously low. So she's getting replacement potassium 3 times a day. It tastes horrible! Low potassium is dangerous because it makes her heart beat irregularly and at an unsafe rate. Her pacer is there to help with her own electrical system, but since this is a 'controlled dehydration', her body is responding accordingly. Her drainage was 90ml over the past 24 hours, with the last 12 hours being 40ml. They're looking for a significant drop in number to show that the tube is ready to be pulled. I think it's fair to assume they jumped the gun a bit with the other one.