4/8

So, a correction. Patients often experience that positive pressure/decreasing blood pressure effect on the pressure support setting of the vent. Blood pressures typically rise on assist control; John has been doing just the opposite. A contrarian - who would have thought it... To keep his bp in a good spot (map of a least 65)John needed a pressor for about 2 hours; last night he needed it all night long; and today he needs it even on pressure support. I don't know how significant this is or what might be causing it; hoping to talk to the drs later and learn what their ideas about this are. Back on pressure support today; John looks very comfortable. A next possible step in weaning might be to lower the oxygen % and/or the pressure a little to see how he does. Right now he is still on morphine pretty frequently so we might not create that extra stress right away. That's it for now; sorry for leading you astray with yesterday's posting.