UMCU – Dag 18 op de Intensive Care


Rustige nacht

Geen veranderingen bij hartslag/bloeddruk/ademhaling. Dolf ademt weer een klein beetje zelf met ondersteuning van de beademingsapparatuur.

Zuurstof opname (circa 97%) o.k.
Afvalstoffen worden ook goed uitgeademd

Heeft een tijdje op zijn zij gelegen, wat nu geen benauwdheid veroorzaakte.

Bloedwaardes allemaal iets gedaald, maar die mogen nog schommelen.

Rode bloedlichaampjes: 4, dus bloedtransfusie nodig.
Witte bloedlichaampjes: 5.2
Bloedplaatjes: 28

Temperatuur 37.4   Dat is vervelender.

Temperatuur

Schommelt weer. Vanochtend 37.4, in de middag 36,7, in de avond weer 37.5.

Longen

Vanochtend weer een longfoto gemaakt. Ze hadden de indruk, dat een gedeelte van de longen niet meer werkte, maar dat was gelukkig niet het geval. Er waren nog wel plekjes (ontstekingen) te zien. In de loop van de dag werd de saturatie (zuurstof) slechter.

Pijn

Door het lange liggen krijgt Dolf steeds meer pijnklachten. Hiervoor krijgt hij ook weer morfine.
Door het gebruik van prednison is zijn huid dun geworden en hij heeft dus snel kleine wondjes.
Als hij op zijn zij wordt gedraaid, loopt de saturatie terug, dus hij kan maar kort op zijn zij liggen (wel belangrijk voor zijn huid om doorligplekken te voorkomen en voor zijn longen). Verzorging en verandering van houding doen hem pijn. 

Bloedtransfusie

De bloedtransfusie van vanochtend (rode) had slechts 0.3 opgeleverd. Er moesten in de avond nog 2 zakken bloed extra gegeven worden. Dat kan verbetering van de saturatie geven, omdat de zuurstof door de rode bloedlichaampjes vervoerd wordt.

CONTACT

Gisteravond was Dolf heel helder. Hij hield langere tijd zijn ogen open. Volgde de gesprekken, probeerde te reageren. Fijn … Je merkt wel, dat het e.e.a. hem veel moeite kost (moe, zwak). Hij kan natuurlijk niets zeggen, omdat hij nog een beademingsbuis heeft.

Wel heerlijk om weer een beetje meer contact te kunnen hebben.
Er wordt nu geen slaapmedicatie meer gegeven. 

Ook vandaag had hij regelmatig zijn ogen een minuut of 5 open. 

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