Baby Eagan - NICU Day 46 - Calm

  We had a calm day today. Those are the best days, I have decided. The big concerns right now are recovering from the cardiac tamponade, reducing the swelling and monitoring him closely for skin breakdown. During his bedding change, I got to lift him a few inches off his bed so the nurse could slide his bedding under him. It was awesome to be able to hold him even if it was just in the palm of my hand.

Just a perspective picture of how tiny Eagan really is, even though he is SUPER swollen.

 

Here is a run-down of his current status:

Weight
Eagan weighs 4 lbs 8 oz due to all of his swelling. In reality, the doctors use 2 lbs 14 oz as his weight to administer medications.

Breathing
Eagan is on the conventional ventilator. His settings were at 40 breaths per minute this morning and are now up to 50.  His oxygen rate has been between 21%-30%. The pressure that the ventilator puts in his lungs is at 24. 

Vitals
Eagan's blood pressure was up and down.

 

Vein and Artery Access
Eagan has an internal jugular line that was placed in surgery.

The arterial line is in his head.

Medications

Hydrocortisone, for blood pressure and stress response, is up to 3 mg.

Eagan is on Meropenum, an antibiotic.

His Vancomycin was stopped due to high levels in his blood. 

His Morphine was previously given every two hours but now his is on the same dose, but as a constant drip.

Caffeine has been started as a diuretic to try to speed up his kidney function.

Lasix, a diuretic,  was given after the transfusions.

Eagan is back on the Dopamine between 9 and 3 micrograms.

He is also on Diflucan as a preventative measure.

Eagan also is back on the Synthroid for low thyroid.

Nutrition
Eagan's only sources of nutrition right now are his TPN fluids.

His lipids have been stopped for now.

 

Output

Eagan has a foley catheter in place. His urine output was still really low today.

Transfusions

Eagan had transfusion #23 of blood today and a infusion of albumen, a protein that makes up blood.