THE ICU DOCTOR SAYS HE IS AN ADVOCATE FOR DAD, SO WHY IS HE SUGGESTING WITHDRAWAL OF TREATMENT NOW?

https://intensivecarehotline.com/questions/the-icu-doctor-says-he-is-an-advocate-for-dad-so-why-is-he-suggesting-withdrawal-of-treatment-now/

THE ICU DOCTOR SAYS HE IS AN ADVOCATE FOR DAD, SO WHY IS HE SUGGESTING WITHDRAWAL OF TREATMENT NOW?

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Hello Patrik,

Thank you for putting this together. I’ve responded to a few things below.

Based on the GCS rating, I’d say Dad is about a 6/15. Although he looks like he is trying to talk, but can’t make any sounds. I see his mouth and uvula move.

Unknown for the ABGs, it was something that came up in rounds and an IV drip was installed yesterday. They are doing routine suctioning of Dad and provide daily counts over 24 hours. He had 9 suctions in the last 24 hours. 7 the day before and 5 on the 15th.

Also, they think that the ventilator is pushing the secretions into his lungs and when they trach cradle it brings them up.

I don’t think dad is getting any chest physiotherapy. I’ll ask as I wasn’t aware this is a thing.

To my knowledge, no cardio consult has been put in. Yes, my dad has medication for blood pressure. Norepinephrine via IV drip and an oral medication Midodrine to use less Norepinephrine. To prevent his heart from going Afib he is on Amiodarone which is administered orally.

Continuation...
https://intensivecarehotline.com/questions/the-icu-doctor-says-he-is-an-advocate-for-dad-so-why-is-he-suggesting-withdrawal-of-treatment-now/