UMCU – Dag 19 op de Intensive Care

7.00 uur

Rustige nacht
Houdt wel erg veel vocht vast, veel plasmedicatie nodig

Saturatie goed 100%
Infectiewaarden (chp) dalen langzaam

Leuko’s 7.4
Rode     5.4 (gisteravond 5.8 dankzij extra bloed in de avond)
Trombo’s 38

Temperatuur 37.2

Het is duidelijk dat Dolf ons herkent, ons begrijpt. Maar hij doet niet z’n mond open, als ze dat vragen. Het is niet duidelijk waarom. Is hij te zwak? Kan hij zijn mondspieren nog niet goed bewegen?
Het is voor de mondverzorging wel nodig, want naast het schoon en vochtig houden van de mond, moet  ook antibiotica zalf in zijn mond gesmeerd worden.

Weer een dag te gaan…

Middag

Metingen zien er stabiel uit.
Hartslag regelmatig en 96 (slagen per minuut)
Bloeddruk 155 64
Saturatie 97
Temperatuur 37.3

Ze gaan proberen de zuurstof iets te verminderen.

Medicijnen

De pijnmedicatie zal verhoogd worden, vooral tijdens de verzorging heeft Dolf duidelijk veel pijn.
Er lijkt sprake te zijn van neuropathie, pijnen veroorzaakt door de lange ziekteperiode.

Ze gaan Haloperidol (haldol) geven, een medicijn tegen delier. Dat is verwardheid/ hallucinaties/ angst, verschijnselen die vaak optreden bij langdurige opname op een intensive care afdeling (door medicijnen, het ernstig ziek zijn, alles wat er gebeurt). Ze zien nog geen signalen dat er sprake is van delier, maar voor de zekerheid wordt het medicijn vast gegeven. Misschien kunnen deze problemen voorkomen worden.

Gelukkig wordt het vocht nu minder, dankzij de plasmedicatie, zonder dat de bloeddruk weer te laag wordt. We maakten ons zorgen over de plekken op zijn benen, waar 2 jaar geleden de huid vanaf gehaald was voor de huidtransplantatie. De huid op die plekken was gezwollen, het leken net enorme brandblaren.
Het kwam door de vochtophoping. Nu het vocht wegtrekt, zien die plekken er ook weer wat normaler uit.

Fysiotherapie

Daarnaast zal fysiotherapie worden ingezet om de gewrichten en de spieren toch een beetje door te bewegen. Zelf kan Dolf nog bijna niet bewegen.

Het medisch team doet enorm z’n best, Dolf vecht als een leeuw… Bijna ondraaglijk om zijn strijd te zien.

157 gedachten over “UMCU – Dag 19 op de Intensive Care

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  23. 随分前の投稿のようですが、参考になればと思い投稿します。我が家は、私が小学3年の時に今の家に引っ越してきました。中古だったので、すでに両隣りに家があり長年ご家族が住んでいましたが、こちらが窓を開け放って9時近くまで練習していても一度も苦情を言われたことはありませんでした。私が中学3年生になった時、片側となりの奥さんが更年期障害になり、毎日のように家族と怒鳴りあって、窓も開けていたので丸聞こえで、受験生だったこともあり毎日聞こえてくる怒鳴り声が苦痛で仕方なくストレスで母に泣きついて、お隣にやんわりと苦情を言ってもらいました。母はかなり気をつかってやんわりと言ったのですが効果なし。仕方なく、図書館に通うようになりました。でも、今考えれば、あれは私自身にかかる受験生のストレスもかなり大きかった気がします。ゆひみさんねご家族も同じようにそう音が苦痛になっているのでしょうか?ゆひみさん自身になんらか他に過度のストレスがかかっていませんか?もちろん、夜にエレキギターをアンプで鳴らすのはそう音のレベルかと思いますが、他に過度のストレスがある場合、それを取り除くことで同じ音でも意外なほど気にならなくなるものです。私は受験終了後からだんだん気にならなくなっていき、うるさいと思う時は窓を閉めたり、音楽をかけたりしていました。それから、お手紙や回覧板を回すというのは、うまくいけばいいですが余計波風を立てるだけになることがあります。うちのご近所では、仕返しのように他のことに対して嫌味を言われて、余計まいってしまうご家族がいらっしゃいました。エレキギターを弾いているのはご主人ということですが、ご主人に直接話せないでしょうか。エレキギターなら、アンプに直接ヘッドフォンかイヤフォンをさせば、夜に練習しても大丈夫なので、お隣さんにとってもそこまで不都合はないかと思います。こういう問題はどちらかというと女性の方が過敏な気がするので、苦情を言われるのも女性の方が目くじらをたてやすいというか、気にしすぎてしまうと思います。男性の方が、良くも悪くもそういうことに無頓着なので、案外、響いてたんですね、すみません。となるかもしれません。また、他の方がおっしゃっているように、隣人関係を柔らかくしておくと、より効果的だと思います。ふだんは、顔合わせた時にあいさつだけでもいいと思いますが、田舎から、野菜がたくさん届いたとか、箱で果物が届いた時におすそ分けするだけで、お隣への親近感がだいぶ違うと思います。我が家も両親は共働きで、ほとんど交流はありませんが、紙袋にメモが入った差し入れを玄関にたまに置いて行って下さいます。奥さんの実家はどこか知ってるだけで不思議と親近感が増すものです。良い方へ改善することをお祈り致します。2200

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