Job is having a bit of a hard day. His oxygen needs have increased but he still keeps desatting lower and lower. He got so excited to see his brothers when we first got here that he dropped down to 53% oxygenation!! and struggled to come up, even on 2 lpm of oxygen support. I think he barely avoided a RRT intervention (rapid response team).
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| Three little boys were very happy to be reunited today! (The red blur is Job's sock-protected IV and board.) |
When Job's body works harder (excited, angry, eating) his sats drop. His body can hardly profuse adequately even when he's at rest and he just doesn't have any reserve to work with at present.
I guess I have been surprised by how quickly his shunt function declines each day and even throughout the day. I am so glad he has been here all week! If need be (that is, if he keeps desatting so low and for so long or desats even lower), we will transfer to the CICU to increase his support.
We're no longer counting down the days but the hours until surgery.
23 hours to go.
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