So today didn't go quite as planned.
Something happened this morning - Sammy had an arrhythmia, and it concerned the staff. They weren't sure if it was a reaction to the morphine, if he had gotten too riled up through the sedation or what... but toss in that his blood pressure was ridiculously high for a good while and the fact that he was still retaining too much fluid, and it was a bit of a rough time. I'm still on edge and haven't been able to come down from it.
He's still a bit sedated, still asleep most of the time - waking only a few minutes at a time, uncomfortable and quite out of it. They upped the diuretics and he's been peeing like a champ. He looks much more like himself. We're hearing that he's had a good turnaround - 180° from this morning! Our surgeon just assured me that he looks good. That makes me feel a bit better.
One concern we're having - his heart rate is really low. He's always been on the low side - he should be up around 100, at least, and resting now, he's dropping into the low 60s, high 50s. (At home he would hover in the 70s when he was asleep, and it never quite sat right with me.) They had pacemaker wires in, as a normal post-surgery precaution, so they hooked him up and they're keeping him at 100. (It was wild watching his heart rate on the monitor adjust to whatever the doctor twisted the little knob to. Want 85? Here you go! Very, very weird.) The surgeon said he didn't think we'd need to do a pacemaker long-term (knock on wood), but that he wanted the heart rate specialists to come by anyway and do some tests.
Anyway, he's still got his drainage tubes in, obviously the pacemaker wires - but the good thing is that he's off the oxygen and holding 80s on his own. (Remember - most of us have oxygen saturations at or about 100. He was dipping into the mid-high 60s pre-Glenn.) His blood pressure is coming down and when he does wake up, his eyes aren't as glassy. They last gave him a touch of morphine around 4pm when they took out his central (jugular) line, so he's on Tylenol for pain. He's taken a little bit by bottle, but we're still waiting for him to wake up to really start to eat. We were told 1-2 nights in the CICU, but I think we're looking at 3.
I'm exhausted. It's a different exhausted than I was waiting for the surgery. This is a bit more of a rollercoaster - I want everything to automatically be okay post-op, and that's not how things work. There are little kinks and concerns, and I walk around on edge using all that energy watching his numbers and asking the doctors and nurses all sorts of questions, just so I know he's okay. I think I'll be better when he's awake and a little more himself.
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Hang in there! He will soon be awake just to see you. Keeping all of you in my prayers
Posted by: Shamira at July 20, 2006 11:32 PM