When i arrived on the floor a little after 4 am in the hallway down from terrans room i saw a resident i knew from the icu he was on his cell phone i rushed past him into terrans I sat down next to him his eyes were scared he grabbed my hand i hugged him and told him its ok mommies here.  he was pale and sweaty i took off the blanket and saw the blood beneath terran he was upset at learning he was going back to the icu he wanted so much for one of us to be by him and knew if he went back he we couldnt.  I left terran to find his nurse i found her at the sink in the hallway washing her hands she was upset that the night before terran would not let them change his dressing and wanted me to speak to him about being more coopertive i told her i knew of her concerns but wanted to know whats going on "well she said terrans had a little bleed not to worry though they were going to take him to icu just to be safe.  the doctor from the icu came up to me and told me terran had a bleed he was unsure of where but would need surgery to fix it and he was trying to get terran to icu he did not feel it was bad though did not think terran had lost enough to drop his crit in his words.   i went back to terran who was scared i lifted the blanket the doctor was back in the room i asked him where the blood was coming from to me it seemed it was from one of the drains he would not touch terran saying it was a surgical issue and would not take the bandage off i removed the bandage and showed him it was not a huge bleed but you could see that the bottom drain had come loose and there was blood pumping from around it.  He left to call the surgeon and find out hwo long till they could get up here.  the nurse came in finally and started iv fluids by pump saying they were replacing some fluids lost.  I remembered in earlier in the day speaking to keo about terrans bun being 56 and swelling on terrans wrist i asked her what happened she did not get it in report about terrans bun being high and did nto know if the kidney doctors came in.  they had done a biopsy on his arm though but did not know yet.   She left i sat by terrans side almost an hour went by before i saw dr kato come in Just before he did the resident said they were going to give terran blood the charge nurse was in the room at the time and told the resident they had ordered blood but there was only two units in the bank and they could only get one for terran she left and dr kato came in a short time later the charge nurse came back in her and lucy terrans nurse that night checked over the blood for what ever and set it up on the pump dr kato told them to turn on both fluids and blood to full not to use the pump but she said the pump would be faster, they had to redo the tubing since they had no latex free tubing on the floor for blood products  dr kato asked for a monitor the resident and him were talking about if terran needed icu or straight to surgery.  It was then after they finally got the blood started by pump mind you. i noticed terran was having trouble breathing he was consious and begging keo who had come in at this time and was at his side to help him keo placed his hand on terrans head and told him its going to be ok.   dr kato again told the nurses to put the fluids and blood on full but they said the tubing was wrong for that he asked for a 60 cc srynge and asked what was terrans largest acccess site terran had three sites on his femoral line but i knew they were too small and terran kept putting his leg up becuase his tummy hurt in doing so that cut off the line due to where it was placed.  i told dr kato the larges site was terrans central line in his chest

dr kato hooked up the line to terrans chest line at this time the only people in the room was dr kato myself my husband and the resident from icu that had been on the floor when i got there and dr keo i noticed terran was having breathing he seemed to be struggling for breath i told dr kato who told the nurse to give terran some oxygen but there was no latex free tubing so she had to go get some.  I reached up to the oxygen where terran had his tubing from his earlier breathing treatment i turned up the oxygen to 10 and placed it on terrans face he seemed a little bit better dr kato had manged to get in a pint of blood using the srynge and took his blood pressure which was looking better he said.  the resident asked if they were going to transport terran intubated or not dr kato responded to intubate terran the resident went to the head of terrans bed which was raised to an angle like always and tried to intubate him the crash cart was brought in to the room the resident took an itubation kit from the cart and tried to intubate terran he was unable to get the tube in terran he said terrans throat had closed off and asked the icu nurse who had now arrived to go get some "rock"  a med they used to paralize patients.