Her general practioner said today his assessment is "only fair" due to the number of problems she has. However, her chemistry and vital signs are acceptable except for her kidney output fluid level. She is sufficiently hydrated for the general doctor to request that the kidney doctor administer a lexica drug for stimulating fluid output of the kidneys. Her fluid output is up to 450 cc's but not acceptable yet. Mother was awake and alert but not as much as yesterday. Her heart is OK and the heart doctor has decreased the level of heart calming medicine. Mother is hurting all over again today, mostly attributed to her skin issue. She has bled in the cracking of her skin and the nurse believes that is hurting her. A different bed was ordered for her so that the tenderness of the skin would not be such an issue with her. She has also been put on a low dose of morphine.
Mother cannot process all the sugar in the TPN (solution of nutrients). The doctor reduced the amount of glucose and added insulin to the TPN. Mother's chemistry has not been significantly and negatiively altered by the use of the TPN that started at 8PM last night. However, the doctor takes a guarded view of her health assessment. Mother's lungs appear to have some fluid today but her breathing rate and oxygen are OK at the moment. The doctor did not think the rise in breathing rate and oxygen required is anything to be overly concerned about. Mother is hungry. The doctor and nurse said that is normal.
has a substitute kidney doctor today for the weekend. Her Gastroenterologist is Vijay Poreddy. He said she seems to be getting over the hump. That is a good.
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