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.
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.