Hana had a quiet night and slept well. Today she is agitated but it hasn’t been too bad. Her heart rate and respiration rate have been normal. She has been tolerating being extubated very well. They will come down on her CPAP from 10 to 8. Her chest X-ray continues to look better and they can hear more aeration from her left lung. They have been managing her withdrawal quite well. Today they will turn off her fentanyl. They will creep down on her versed. Yesterday they started methadone and they will increase her Ativan both for withdrawal.
As for other things, Hana is still on a post-op antibiotic. She is getting a steroid to treat high fibrinogen levels. She is getting IV heparin therapy and yesterday they started aspirin to thin her blood. They are going to try to get her back on her oral meds for her heart failure- enalapril and carvedilol and they will start reducing her Nitroprusside (eventually she should be off milrinone but that will probably be the last to go). They stopped her diuril and will continue with IV Lasix. Things are moving along.
Today we get to hold her!