Carlos had a bit of drama. They started him on a medication called thymoglobulin that he really didn't like. I wrote this whole long post and this stupid program didn't save it. So here's the short version.
He had some unpleasant side effects that are common so things were feeling a little intense. Blood pressure dropped, there was projectile vomiting with something that looked like blood at first glance, etc. It was exciting to say the least. He was stable again when I left. He was nauseous but communicating more, not liking the lying flat on his bed, and the tube in his throat. They have him back on minimal vemt settings so hoping maybe he will be ready to be extubated this evening as originally planned.
Then I'm going home to sleep. Its been a lot of hours since I last slept. Its like working a busy weekend!