"His BP is 76/55, his temp has risen to 104, resps 30, and his pulse is 124 and bounding," The nurse told the surgeon as they hurried into Danny's room.
"How is his urine output?" Dr Mullins frowned as he began to examine is critically ill patient as Danny struggled to breath.
The nurse shook her head as she placed the patient's medical chart on the bedside table she turned and grabbed the clipboard at the end of the bed before handing it to him to peruse, "Not good."
Glancing at the clipboard, he handed it back to the nurse before he slipped the stethoscope into his ears and carefully began to listen to Danny's chest. Removing the stethoscope, his frown deepened as he straightened up and folded back the sheets before he peeled back the tape and lifted the large dressing that covered Danny's stomach and began to examine the red and swollen suture line. "Have we got the lab results back, yet?"
"They just sent the results through." The nurse told him as he lowered the dressing and carefully stuck the tape back down. "What do you think we are dealing with? Sepsis?"
Accepting the medical chart, Mullins nodded as he glanced at the sheet of paper containing the results of the pus samples collected after surgery and the blood tests that were taken immediately after Danny's admission to ICU before he looked back at Danny. "I was hoping that we could get on top of the peritonitis but knowing how long the tear in his intestine was left untreated before we discovered it and with his weakened condition after the donor operation and the loss of blood, it was just a case of wishful thinking." Mullins sighed as he pulled a pen out of his pocket and started to scribble his orders into the chart as he continued," OK, let's add Levofloxacin to the Vancomycin and the Ceftazidime. Also, let's commence him on Levophed to try and get his blood pressure up." Placing the chart back onto the table, he placed the stethoscope back in his ears before listening to Danny's breath sounds again. Looking back up at the nurse as he removed the stethoscope and slowly hung it back around his neck. "I want another round of blood work done, we may also need to start him on dialysis if his urine output doesn't pick up soon." Looking back at Danny, he added, "Also, page the respiratory therapist, I think Angela is on call this morning, tell her we have a patient who needs ventilating stat."
The nurse nodded silently as she accepted back the chart before she turned and hurried towards the door to carry out his orders.
"Do you know if his friends managed to contact his family yet?" The surgeon asked quietly.
Pausing as she reached the door, she turned and nodded, "His two children have just left after visiting him and I think his parents and sisters are due in sometime this evening."
"Good." The surgeon murmured distractedly as he looked up at the heart monitor and shook his head at the figures he was reading.
H50 H50 H50
Sitting a little higher up in his bed, Steve ignored the muted, flickering screen of the TV that the nurse had switched on before she had left the room, as he looked up for the umpteen time since Kono and Lou had left, and stared at the second hand on the clock on the wall. It felt like an eternity for the second hand to marked each minute that passed and Steve sighed. It had been over an hour since Chin, Kono and Lou had been called into the Governor's office and the thought of Danny alone in that ICU room was driving him crazy. He needed to be by Danny's side.
Glancing up at the heart monitor on the table beside the bed, McGarrett's eyes grew wide as he realized that the nurse had forgotten to reconnect the monitor after his return to the ward. Biting his bottom lip as he wrapped his arm protective across his stomach, he threw the sheet off his legs before he turned and swung his legs over the edge of the bed. Gingerly standing up, he grabbed the bedside table, closing his eyes as he waited for a wave of dizziness that threatened to topple him to pass.
Slowly opening his eyes, he cautiously released the death grip he held on the table as he looked around the room, spotting the portable drip stand still standing in the corner. A small triumphant smile graced his lips as he gingerly reached up and unhooked his drip from the bedside stand before he made his way across to the stand. Quickly grabbing the stand when he reached it, he was grateful for its comforting support. He paused a moment to allow the deep throb from his protesting stomach to ease a little before he rehung his drip on the stand and slowly wheeled it across to the door.
Pausing a moment as he reached the door, he opened it and cautiously poked his head out into the corridor before looking around, checking for any nurses. Seeing no one around and the nurse's station empty, he wheeled his drip out into the corridor and limped as fast as he could towards the elevator at the end of the ward. Hitting the button, he was relieved when the doors slid instantly open before he stumbled inside and hit the button for the floor where the ICU was located. He felt the elevator jerk and begin to rise as he leaned back against the wall and waited for the doors to open.
