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Monday, March 23, 2009

At 9:15 he had a bad reaction to the blood transfusion... was freezing, shivering, shaking terribly.  His temp shot way up, and he looked blue!  They brought him warm blankets, gave him 10 mg. Lopressor, Benedryl, Tylenol, and some normal saline.  He finally stopped shaking, and is relaxed...  The Benedryl made him sleepy.  His blood pressure is now very low...89/58.  They have started the Cardizem drip again.  Earlier, before the reaction, they had given him Cardizem by stomach tube.
 
The resident, Dr. Gupta, told me the Infectious Disease doctors had stopped the Cefepine antibiotic today after his morning dose.  The Acinetobacter is apparently being resistant to it, and they want to change that treatment.  Some of his trouble this evening could be from that infection. 
 
His temp is now 101*, and heart rate is still 160.  The Cardizem and Lopressor haven't help convert the heart rhythm, yet...

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