Jan 3rd 2010

Zane is still intubated but he has been doing a lot better since receiving his blood transfusion.  His lab work this am showed that his WBC has almost doubled and he has some increased bands.  He remains on vancomycin and gentamycin his anti-fungal was stopped two days ago.  A urine specimen was obtained and labs will be done again in the morning.  It seems as much blood as Zane is given--- just as much is taken out for lab work.

His sodium and chloride levels are still low.  I had discussed the possibility of increasing his potassium in his fluids so that his chloride level would go up, but no changes were made to his fluids today.  One thing I have noticed with Zane is that when his chloride level is "normalized" his bumex ( 50x the potency of lasix ) works better.  It drives me crazy when a plan has been discussed and no action has been taken, I understand that things change on a daily basis but then updated us and let us know when a plan was not followed so that we do not have to second guess why things did not happen.