sleepy day

Adrienne has been very tired today. Yesterday, she was having painful muscle cramps in her hands and feet so we tried muscle relaxers after other things failed. I'm sure that's contributing to the fatigue. The muscle spasms were probably caused by the imbalance in her electrolytes. She's been on so many meds plus lasix to get the fluid off so now she's all out of whack. Her lungs are doing much better and the pleural effusions aren't filling up again so they can start to give her some fluids. This is a fine balance, making sure she doesn't retain fluids while giving her enough to keep her kidneys and electrolytes happy. Her creatinine is up so fluids would help that too. No fevers so far today.