Myrna at cardio to be tapped. Couldn't get BR down this week despite extra Torsemide here and there. She almost made two months since April 23 when she was last tapped. The rainy, cool, then hot and humid weather is making it difficult for her to breathe and to handle the extra fluid in her lungs. The heavy air is difficult to breathe in, also. All this despite running fans and portable AC units which may in their own noisy way, cause stress which also leads to CHF.
(Later that day:) So slight problem at cardio- the lung was scratched when Myrna moved which caused slight bleeding. Normally not a problem except she's on plavix and we are worried she may not coagulate. Blood build up will make breathing difficult and while it could be tapped, if she hasn't stopped bleeding then it will just keep bleeding and needing tapping. Plus loss of blood will weaken her, the heart rate and bp will decline, etc. Good news-a clot has left her heart. Bad news- it's likely showering her body with small clots which may or may not settle somewhere. Currently we think the GI track might have had some given recent issues such as vomiting Monday and Tuesday, restlessness, not eating enough. On the bright side her kidney values are just great! BUN is 39, down from 52 and creatinine is 2.7 from 3.7 from May 4 after the saddle thrombosis. We are monitoring her now for problems. If she makes it through the night without any problems then the incident is over.
Facebook post Friday, June 20, 2015
Myrna returned to cardio today because she had a breathing rate of 60 at home. Feared still bleeding. They put her in the oxygen cage and that calmed her. No longer bleeding but did bleed enough in the lungs and added to what fluid was still in her that elevated her breathing rate. And she lost enough blood to lower PCV/hemocrit (red blood count) to weaken her and reduce kidney function (she's not going as often.) This will take her days to recover as red cells reproduce/replace what was loss. Not eating so back to hand feeding. BR still up and pushing extra torsemide. The cardio did not tap her again to remove the fluid from her lungs. The blood, which is needed, will not pass through her system using Torsemide but will be eventually reabsorbed into the body. They gave her an injection of lasix and I will give extra Torsemide as needed to help ease congestion.