Juliana is having a good day. Her oxygen is down to 27%, which is fantastic. (Remember, room air is 21%.) However, her rate continues to remain fairly high, to keep the CO2 levels down. We have set up a meeting on Monday with the cardiologist to discuss the possibility of surgery for her PDA. According to the nurse, one of the doctors today suggested that surgery was our best option. We will wait to hear the risk analysis on Monday and see what the specialists think.
They are also weaning her off of her hydrocortisone and trying to keep her fluid levels low to give the PDA as much support as possible to allow it to close on its own. At this point they don’t think that it will, but by lowering her fluid levels and administering Lasix, a diuretic, they hope to at least prevent the PDA from getting larger. She continues to have good urine output.
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