Another hard day for John complicated by the move of all ICU patients to another floor of the hospital. John spiked a fever this afternoon. More blood cultures were drawn to make sure he is not brewing a new infection now that his antibiotics have been discontinued. His arterial line was also withdrawn as a possible site of infection.
He is experiencing even bigger swings in his blood pressure which dropped dangerously low today. He is back on medicine to help control it.
Scans show the pneumonia may be worse or else his wbc and immune system are waging an immune response. No way to tell.
The rash isn't infectious; it could be a reaction to one of his meds or a return of gvhd. Once again, no way to tell by looking at it. Now that some of the meds have been withdrawn, we just have to wait to see if it disappears on its own.
He is able to maintain his oxygen levels better today. We'll hope for more improvements tonight and tomorrow.
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