Thursday, October 3, 2013

Urosepsis

Bryn was discharged from the hospital on Monday morning.  She was diagnosed with urosepsis.  The bacteria that was found in her urine and bloodstream was E coli. 


"Sepsis is a life-threatening bacterial infection of the blood; urosepsis is sepsis that complicates a urinary tract infection. Urosepsis requires treatment with antibiotics and may require supportive therapies such as intravenous fluids and oxygen. If undiagnosed or untreated, urosepsis can progress to septic shock.  The urinary tract consists of the kidneys, ureters, bladder and urethra. The kidneys filter the blood, creating urine, which travels through the ureters to the bladder, where it is stored until it exits the body through the urethra.  Most of the time, bacteria that cause urosepsis enter the body through the urethra and make their way to the kidney before entering the bloodstream."

The nurses tried around 7 times to put an IV in Bryn's arms, but since she was dehydrated, and her vanes were flat, they couldn't get it in.   We pushed fluids Friday night, and I had them try one more time around 5 am Satuday morning and they finally got it.  She had continuous fluids and 5 rounds of IV Rocephin while were in in the hospital.  They monitored the blood cultures while we were there, and the bacteria stopped growing.

We went back and forth about our plan for further treatment.  We pushed to get out Monday morning, so we would be able to go home and get ready for Chris's grandfather's visitation Monday night.  

We finally decided to go back to our pediatric clinic once a day for shots of rocephin in her thighs for the rest of the week (11 total).  We have been putting a prescription numbing cream on her legs 30 minutes prior to help with pain.  It's causing major knots & she is having diarrhea, but she seems to be doing well and acting like herself.  Dr. A is going to evaluate her again this Friday, and is going to put her on an oral antibiotic.  In a couple weeks, Bryn will have an renal ultrasound to evaluate her kidney, ureter, and bladder to make sure there isn't permanent damage, along with a VCUG  - Pediatric Voiding Cystourethrogram.

"A VCUG is an x-ray exam that allows us to visualize your child’s bladder and ability to empty his/ her bladder. A catheter will need to be placed into your child’s bladder through the urethra (the tube that drains urine from the bladder) and a special liquid that shows up well on x-rays will be introduced through the catheter in order to fill the bladder." 

Baba was suppose to fly home on Monday, but since we were still in the hospital, she extended her stay until this Friday to help us out with Hollyn!  Not sure what we would have done without her! 
Saturday:






Her great grandma brought her an Elmo.
Sunday:



Monday:





Kyle brought Bryn a giraffe :)







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