UMCU – Dag “+ 21 ” Intensive Care

Dag 14 op de Intensive Care

Beademing

Gisteravond hebben ze Dolf op z ’n buik gedraaid in de hoop dat de beademing dan beter gaat.
Hij blies te weinig afvalstoffen af.
Dat lijkt nu iets beter te gaan. Ook de opname van de zuurstof lijkt iets beter te gaan.
Spierverslappers gegeven om ademhaling meer over te kunnen nemen.
En meer slaapmedicatie.
Planning is 16 uur buik, 16 uur rug, maar dat hangt natuurlijk af van de resultaten.

Hartslag en bloeddruk o.k.

Infectiewaarden dalen.

3 weken na de stamceltransplantatie

Bloedwaarden gaan goed:

Rode bloedlichaampjes 6.6 (wel laatste dagen flink aantal zakken bloed gehad)
Trombo’s 20 (net als gisteren)
Witte bloedlichaampjes 10.6!!

13.00 uur

Dolf is weer op z’n rug gedraaid.
Bij buikligging krijgen de onderste delen van de longen (aan de rugzijde) de kans om beter te functioneren. Dit is geen comfortabele houding, daarom krijgt Dolf slaapmedicijnen en pijnstillers.
I.v.m. de buikligging is het sondeslangetje verplaatst van de neus naar de mond.

Jammer genoeg heeft de buikligging minder resultaat dan gehoopt. Hij blaast nog steeds te weinig afvalstoffen af. Op dit moment gaan ze ervan uit, dat hij niet meer op zijn buik wordt gedraaid.

De ademhaling is geheel overgenomen door de beademingsapparatuur.

Gesprek intensivist

Het grootste probleem momenteel zijn Dolf’s longen.
De oorzaak van de ontstekingen moet gevonden worden. Iedere keer dat ze nu de antibiotica stoppen, loopt Dolf’s temperatuur weer op (Dit is al 3x geprobeerd). Maar wat is daarvan de oorzaak?

De bloedwaarden zijn goed. Er kan alleen een extra probleem ontstaan, als de witte bloedlichaampjes mee gaan vechten. Zonder gerichte antibiotica kunnen de witte bloedlichaampjes de infectie niet overwinnen, maar dan maken ze je wel doodziek doordat je hoge koorts krijgt…

Als uit de kweken (die dagelijks worden afgenomen) een bacterie blijkt, kan een antibioticum worden gegeven, dat de bacterie bestrijdt. Vervolgens kunnen de longen weer beter gaan werken, waarna de weg omhoog is ingeslagen. 
 
Situatie is zorgelijk.

 

 

162 gedachten over “UMCU – Dag “+ 21 ” Intensive Care

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  9. this is a really helpful list. One thing I’d love to know is how accessible / open each venue is to rentals or event partnerships (like how we do Ignite in partnership with the Walters), and how to get in touch with them.I know from experience some of the venues on this list are totally or effectively off-limits and people looking at the list should not waste time calling these folks up. But there’s a bunch of stuff on there I hadn’t heard of, so I’m excited!Enoch Pratt Library has some really nice spaces at the downtown branch that should be on this list.

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  14. Sorry to start a mini controversey! I guess "dumb down" was an unfortunate choice of words! I suppose its OK if you choose to limit your audience to those with IQs in the top 2%, as long as that is your goal. Writing shorter is hard as shown by the variously attributed quote that, "I would have written less if I had more time." I am a huge fan of your work, I just think it deserves a wider audience. I'll shut up now!

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  16. wipsy / Great article as always Kevin. By all reports and rumors around the Web, Halo 4 is Awesome. I’m surprised that there isn’t a lot more hype for a game that will release in less than a week. Hype from Microsoft and 343 I mean.

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  18. Okay, I FINALLY got that friggin’ gnome to move! Turns out I had to put enemy.x+=1 into the handleEnterFrame function, and not in Main().To the guy who made the tutorial: a revision making that fact clearer would be much appreciated.

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  34. I’ll gear this review to 2 types of people: current Zune owners who are considering an upgrade, and people trying to decide between a Zune and an iPod. (There are other players worth considering out there, like the Sony Walkman X, but I hope this gives you enough info to make an informed decision of the Zune vs players other than the iPod line as well.)

  35. 12 years ago my grandma bought me a couch, 2 wingbacks, a plush arm chair, and an occasional chair for $100 at an estate sale. I had the two wingbacks recovered in purple and tufted. The other one I did in lavender velvet. I was so proud of myself. Then I got sick of them. now that I am married they are relegated to my porch where I have a very retro vibe going with my orange couch. It is all faded now and my favorite room once again.

  36. What a memorable year you will be having with 2 weddings, wonderful!Our eldest daughter married in November 2010. It was such a special occasion for our family….We have now been blessed with an adorable grandson and while I still don't feel old enough to be a grandmama it has been such a joyous time for us.Take the time to enjoy the whole occasion….don't get caught up in the little things!Best wishes to you & your family Kerry

  37. perfect article.Khoop divas hech vichaar manaat hote. Tumhi mast shabd rup dilat.By the way..svant sukhaay lihito he ardhech barobar..svaant madhe end in itself asa arth yeto.He lihine sva sukhaay(svaant navhe) aani vaachakansaathi suddhaa asatech..mag koni kahi mhano..Otherwise lihoon diary t thevale asate. Publish nasatech kele.

  38. dit :Merci Jean-Luc de ton commentaire.J’ajoute aussi une petite citation : “En Afrique, quand un vieillard meurt, c’est une bibliothèque qui brûle” (Amadou Hampâté Bâ). Respecter les anciens et perpétuer leur mémoire est une véritable leçon sur la vie et la mort.

  39. Vi har en dværgpuddel og han er ualmindelig dejlig. Kælen og utrolig putte-glad, men samtidig en værre spilopmager, der elsker sit legetøj. Desuden fælder han ikke, hvilket er et kæmpe plus! (Til gengæld skal han klippes ca. 3 gange om året). Hans pels er vidunderlig blød, men han ligner godt nok mere en tøjbamse end en gammel baby..

  40. Myslalem ze na wiecej cie stac, a ty znowu z tymi prymitywnymi oskarzeniami. Zyjesz bez grzechu ze innym grzechy wypominasz? Masz takie same spaczone nastawienie jak pseudochrzescijanie, tylko ze rzucasz sie z przeciwnej strony barykady. Nie ponizam was ale antychrystyczne klamstwa ktorym uwierzyliscie. Co do Stalina i Hitlera to zbÅ‚adzili, swoja droga ty tez kiedys bylas czysta. Tym co wypisujesz sama sie upodlasz, nawet cie ponizac nie trzeba. I wbrew twoim nienawistnym ciÄ…gotom, ja cie nie nienawidze – szkoda mi cie kobito

  41. Shirley / Not goodbye indeed, we shall see you again in 2014! Thank you, David for doing this last video blog for us. May your time in South America be filled with God’s wisdom, guidance, blessing and protection always. Stay safe and take care.

  42. Good day! This is kind of off topic but I need some help from an established blog. Is it difficult to set up your own blog? I’m not very techincal but I can figure things out pretty quick. I’m thinking about making my own but I’m not sure where to begin. Do you have any points or suggestions? Thanks

  43. al principio no te va a viciar, no comprenderás todas las funcionalidades hasta jugadas muchas horas, pero cuanto más juegues seguramente más te viciesde todas formas nunca entendí por qué dicen que vicia tanto, creo que en mi ranking de “viciadas” no se mete ni en el top 10

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