10.23.17 Spine Surgery 19

We were able to carefully get a fluid bolus into Aimee’s IV last night. Early this morning the nurse practitioner ordered another even bigger bolus, but it would have required placing a new IV. She was worried about Aimee’s low blood pressures and lack of urine. Those low nighttime pressures cause a lot of drama when we’re here. They are low enough that somtimes the nurses can’t even record them in the system. 

Anyways, we were able to convince her to hold off on that bolus so we didn’t have to wake Aimee up at 4:30 to put in an IV, which is such an ordeal to get placed. 

This morning we met with the surgery team again and mapped out a plan to get Aimee home. If all goes well today, we are hoping to be discharged tomorrow. Our goal is to have her on continuous 24 hours a day water and 40% of her normal food volume run over 12 hours a day. We hope to get her to tolerate rates high enough for that and to ensure that she stays in a stable place with hydration throughout today/tonight. We will also do a pain/vitals test in her wheelchair today for 1.5 hours to make sure that she can tolerate the drive home safely. Obviously these things aren’t nearly Aimee’s baseline, but Ed and I feel that it would be safe to release her from the hospital if those goals are met. Thankfully the surgeon is trusting us from there.