Last evenings pump change has brought some repercussions with it. He has gained 530 grams. This may be from the difficulty they had yesterday at keeping the dialysis pump running. His blood pressure was floating around a mean in the twenties. They try to keep this number somewhere around a mean of fifty. This has been a long running issue with dialysis, and something that is expected, but I think they weren't expecting this much of an issue with it. They have increased his ECMO flow to .460 due to this. They can control his blood pressure somewhat through the pump, but this is counter productive. His x-ray has shown some more "whiting out", meaning that there is less oxygen in his lungs. This a typical response from the pump circuit change out. They are planning on starting him on steroids as of tomorrow. All of these things are the "tricks" that the doctor had ready for Memphis when he was taken off of ECMO.
With all of this, his co2 sweep is still at .3. This means that his body is ventilating the carbon dioxide somehow. Even if his lungs are less open.
This issues will be hopefully resolved within the day, and it will be just like taking a day off of recovery.
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