Peritonitis and a Difficult Day

Yesterday was one of the most difficult days Emy has had in a long time. She was very sick. She had low blood pressure, high heart rate, high respiratory rate and a low grade fever. She looked pale and her extremities were cool to the touch. She was very weak and her cry was diminished to a grunt. Her stomach was distended. She leaked from her G-tube site. Her PD fluid was cloudy and orange.

Based on the clinical picture and some labs, she has peritonitis again. The doctors placed her on broad spectrum antibiotics. They removed the contents from her stomach to reduce the pressure in that area. They stopped feeds. They gave her vasopressin and epinephrine to sustain her blood pressure. They placed an arterial line to get an accurate reading of her blood pressure.

Additionally, last night her blood pressure rapidly increased for no apparent reason, the nurse thought it may have been a seizure. Today, ultrasound and CT of her head showed enlarged ventricles. The doctors will continue to monitor her head and ventricles.

Yesterday was very scary, but thankfully she is doing better today. She is still sick, but she is getting better with the antibiotics. Her blood pressure is stable and she is now off of vasopressin. Her stomach is less distended. She is more alert and her color has returned. Please pray for continued healing for EmyG. Pray that the doctors properly navigate her neurologic findings. Pray for healing for her brain and ventricles. Pray that she is comfortable and recovers from the peritonitis. Pray that she grows and thrives.