24hrs/14days

Marlowe is 24 hours into dialysis.   The first day was pretty tough.  As the care team is working on how to best ease her into her new routine, her calm, comfortable post-op recovery was seemingly turned upside down in order to start managing her fluid levels.  The main goal for the day was to insure that the catheter functioned properly.  As fluid goes in they want to see that it all drains out, which it does <sigh of relief>.  They are gradually adding more volume, and watching her closely to insure her BP and comfort levels are maintained.  They aren't expecting any significant removal of fluids for the first several days, but she has lost several units in the first 24 hours.  In rounds this morning, the tentative plan is to decrease meds, increase nutrition and be extubated to room air.  At two weeks old, she has proven to be quite the overachiever.  As parents, we could not be more proud.