Willem awakened by the respiratory nurse to massage his back and work on breathing. Willem complained of intense pain in his back -- 'said he is at a ten on the pain scale; where ten is the highest. And that was the end of his respiratory therapy for the now.
BPM went as high as 150
Ox 96
RR between 50 and 60
BP 104/66
Administering Loratab (like extra strength Vicoden I am being told) for pain.
Some talk of his bladder being full because he hasn't urinated since 3pm yesterday which could be the reason for the intense pain in his back and, to some extent, increased respiratory rate.
I told the nurse to get us a urinal and we'll make him pee. He peed. He peed a good 300ml. No change in RR yet: 50 to 58
BP 123/74
Would like to see his RR back in the 30s again.
Coughed a little bit.
Willem -- only days before he was stricken with HLH -- leisurely walking, straw in mouth, not a care in the world. A healthy 9 year old boy.
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