Baby Eagan - NICU Day 65 - Eye Exam Mayhem

  Eagan had an eye exam today. He was NOT happy about it. He decided that during his eye exam, he didn't really need to breathe or make his heart beat. Those are sort of priorities. I guess he missed that memo. Needless to say, this set him back a good bit for the day. His carbon dioxide level was 120 after the exam. It should be 45-50. His blood vessels in his eyes are still not where they should be, so he gets another exam in two weeks. He was going to be able to start feeds again today, but due to the eye exam mayhem, he will have to wait a bit.

Weight
4 lb 1.8oz

Breathing
Eagan is on the conventional ventilator. His settings are up to 50 breaths per minute. His oxygen rate is at 40%-60%. The pressure that the ventilator puts in his lungs is down to 22. Also, he has fluid in his lungs so he is getting Atrovent breathing treatments every six hours. He still has the end-tidal to monitor is carbon dioxide levels. His pleural effusions, the fluid between his lungs and ribs, were even bigger today.

Vein and Artery Access 
Eagan has an internal jugular line that was placed in surgery. Only one of the two lumens is usable now.

He has an IV smack in the middle of his head.

He now has an arterial line in his left foot.

Medications

An antibiotic, Oxicillin is being given every six hours. 

Hydrocortisone, for blood pressure and stress response, is down to once ever 12 hours.
 

He is now only on Morphine every 3 hours.

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

He is also on Diflucan as a preventative measure.

He is also on Zantac to help calm his tummy's acid levels.

Lasix, a diuretic, will be given every 12 hours.

Nutrition
No feedings. He is only getting TPN and lipids for now.

Output

A little pee  today.

Transfusions 

Transfusion #27 today for a low hematocrit.

Upcoming Tests

Another eye exam to check on the severity of his retinopathy of prematurity will be two weeks from now.

Cranial ultrasound at 36 weeks gestation.