Fluid Balance

Today was not my favorite.  I hear those code blues and see ECMO circuits being started and my heart just aches.  Owen's weight was up to 50lbs last night, but was only 47.8 the night before.  His respiratory rate is up to 40-50 and his CVP is up in the low 20s.  He is a bit fluid positive so we are utilizing IV diuretics to get some fluids off.. although by looking at him you'd never know.  We did an xray today and his Pneumonia doesn't look any better to me.  I know it takes a while for the xray to show improvement, but I just want to make sure it's not getting worse. Prayers for lots of pee!  

Owen had a good day.  He says the craziest things and always speaks his mind.  No filter.  

Still no food tolerance but we are running plenty TPN and Lipids to cover his calorie needs.

Tomorrow is a new day.. hopefully a very quiet day.