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Respiratory Problem (?) Ventilator Induced?

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mistique*

New User, Becoming EHEALTHy
Joined: 18 Jul 2005
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Location: carolina
Respiratory Problem (?) Ventilator Induced?
Posted: 07-18-05 14:05pm

My sister walked into er and was diagnosed with menningitis and admitted to local hospital. She was on a regular floor for 8 days given antibiotics then she was dx with pneumonia. She coded and was put on a respirator and has been on it for over a month. She is kept sedated to the point that she does not move at all. When she was trying to breathe on her own and the machine went off, they further sedated her with versed, plus a continuous drip of versed. The menningitis was long taken care of and the lungs cleared of the pneumonia. When she was on the floor due to an error on someones part she had received 3 blood thinners at once lovenex, heparin plus coumadin. In the icu she had blood in her catheter bag for 2 weeks, and they gave her 5 units of whole blood plus plasma. Every time they were asked by the family about weaning her from the vent we were told that to be weaned off they had to lesson the sedation, and they could not do that while she was on the vent. 2 days ago they put a trach in and she now has a temp of 104*. Today the doctor told her daughter that her lungs had gotten hard and she was nearing the end, and they must make a decision whether to have them code her or not, suggesting that they should say not. Something seems terribly wrong with this picture, she walked into the hospital 6 weeks ago, she is not terinally ill...What is the problem here? How much damage can being on a vent cause? What do you think about his situation...Help me understand what has happened here. I don't want my sisiter to die. Thank you, please answer fast.
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Dr. Nikola

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Joined: 01 Apr 2008
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Location: Strumica, Republic of Macedonia
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Posted: 04-17-08 09:51am

Bacterial meningitis even alone is a very serious condition. In many cases bacterial meningitis is a consequence of persisting pneumonia. Can you tell me which bacterium was isolated from the phlegm, blood or cerebro-spinal liquor? Sedation is often requested because meningitis can cause delirium. In case of sedation and pneumonia in the same time respirator is usually requested. Infection probably spread into the blood and caused sepsa (blood poisoning) so they gave her blood transfusions and blood thinners. Sepsa is absolutely a life threatening condition.
Pneumonia can occur in the hospitalized patients (so called nozocomial pneumonia) and is usually caused by bacteria resistant to the most of the antibiotics.
It is hard to say how and when your sister got her pneumonia.
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