Thursday, April 19, 2012

Baby Eagan - NICU Day 9 - 2 pounds!




Here is a run-down of his current status:

Weight
2 lb 1 oz - Eagan hit the 2 lb. mark!! This is most likely from all the blood he has been given, but we'll take it!

Length
12.5" - We aren't measuring his length yet, so this is birth length.

Breathing
Eagan is on an oscillator and doing well. He is still breathing room air (21% oxygen).
His doctor plans to try CPAP again Friday or this weekend. He does well when she turns off his ventilator for a short time and maintains a good heart rate. He is just not ready to go completely off assistance.

His most recent blood gas test was good in all areas!

Vitals
Eagan's has only had one bradycardia that required mild stimulation to bring his heart rate up. The mucous plugs were not an issue today.

Vein Access
The umbilical line was pulled today. Removing the line really upset Eagan, mostly when we pulled off the tape.

Eagan also has a PICC line in his right arm.

He also has an IV in his leg. He really gets irritated by this one because his leg has to be on a foam board to keep the line stabilized.

Medications
Eagan has an extremely high white blood count. Today it was 52,000. His doctor no longer thinks he has an infection, but that his body was preparing to get the infection that I had due to the premature rupture of membranes (PROM). Zithromax has been added just in case.


Sodium Bicarb was needed today to regulate his ph levels.

Eags is getting Diflucan because he now has a yeast infection in his throat, most likely from the intubation tube.

His thyroid blood test came back low. He is now on Sythroid for low thyroid.

Caffeine has been added to his medications. Caffeine has multiple benefits for Eagan such as reducing his risk for cerebral palsy. The main purpose of the caffeine is to help Eagan to remember to breathe, preventing spells of apnea. He gets caffeine once a day.

He will be getting a glycerin suppository every 12 hours depending on how often he is having bowel movements. It seems odd to be so excited about dirty diapers, but he is peeing and pooping great which means his body is functioning well!

Nutrition
I am pumping breastmilk for Eagan. His feedings are still at 1cc of breastmilk every 6 hours. At 10 days old, his feeds will increase to every 3 hours.

Eagan is still getting vitamins through his PICC and lipids (a healthy fat).

Transfusions
Eagan had a transfusion of whole blood today at 12:00 pm and another transfusion of plasma at 9:00 pm. These were needed because his hematocrit is very low and he has low blood volume.

April 18 - Transfusion #2

April 15 - Eagan got his first blood transfusion tonight. This will be the first of many transfusions Eagan will need. His hematocrit (the amount of red blood cells in the blood) has been low, which is just one of the many reasons he needs a transfusion. His blood is also drawn for tests quite often. Even a tiny amount of blood is a lot of blood coming from such a tiny baby. The transfusion will also help Eagan maintain proper oxygenation.

Jaundice
Eagan's jaundice levels were 9.9 today. He is now back on the bili lights.

Upcoming Tests
Next week, the head ultrasound will be repeated.

Thank you for all your love, support and prayers.

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