If It's Not One Thing, It's Another....(Poor Baby)

Reagan has had an o.k. last few days.  She still remains asleep more of the time than she's awake.  The docs don't like that she's sleeping so much but I'm not so concerned- at least she's healing while resting. 

Our little sleeping beauty

Reagan's BUN and creatinine levels have been rising which reflect her kidney status.  Yesterday, one of her big-gun antibiotics (Gentamicin) was stopped because it's damaging to the kidneys.  Also, one of her diuretics, diuryl was stopped.  In spite of these being stopped, she did not pee very well yesterday, last night, or today.  Also, her BUN and creatinine levels were even higher today.  Renal team was consulted.  A renal ultrasound was done to check the blood flow to her kidneys and check to see if she was even producing urine in her bladder.  Her bladder is full of urine and the blood flow to her kidneys looked good.  So, the focus has changed to helping out her kidneys more through this stage.  The renal doctor said alot of the things that Reagan has been on combined together are not good for the kidneys.  In most cases you would avoid combining all of these at once, but in Reagan's case, she needed them all for various purposes to save her.  She basically got The Perfect Storm combination of all things bad for the kidneys at once and so now her kidneys are saying they've had enough.  Because of this, various things have been building up in her system such as...
-Methadone and Ativan- hence why she's still so sleepy and not waking up
-Potassium- not good to build up (medicine being given to help her body pass the extra potassium out of her system)
-Formula was switched to one that's easier on the kidneys for now until they improve
-Lasix being switched to Bumex because she has been on high doses of lasix for some time now and not responding.  Lasix for long periods can be damaging to the kidneys as well as hearing.
Anyway, I'm sure there's more.  Basically, let's just pray for her kidneys to start working again and clear all these bad things out of her system so she can start moving towards discharge.
In other areas, Reagan is doing well.  This morning she came off the high-flow oxygen and is on regular nasal cannula at 1L now.  Her breathing treatments are now only twice a day which was our normal home regimen.   Also, the surgical fellow took out her stitches and pacing wires this morning.  I'm so glad because she has been itching like crazy and hopefully by getting those stitches out, she will be less itchy.
Well, it's 9:30pm and I'm going to sign off for now and let night-shift (Mimi & PawPaw) take over.  Hopefully by the time I return in the morning, my sweet girl will have peed a river and had a good night's rest.  Will update later.