PICU bound?

Alex had a rough night and morning and there's a good chance she could be transferring to the PICU. She's on a pulmonary floor but maxed out on her bipap settings and support they can safely provide outside of an intensive care setting. We are trying a couple of medication interventions and then the medical team will reevaluate and determine if she requires escalated care in the ICU to get her through the worst of it. Not the news I was hoping to post.