Sunday, June 24, 2012

Baby Eagan - NICU Day 74 - Levels

 
  Today was a somewhat busy day for Eagan. Every lab seemed to be off. His sodium levels were very high and his potassium levels were low. The decision was also made to stop his feeds. A clear fluid containing dextrose and potassium was added. He is also getting 1 ml of albumen for every ml of fluid he leaks out of his incisions. This in combination with the blood transfusion should have him feeling better and a little less swollen tomorrow.
Weight
4 lb 2.5 oz

Breathing
Eagan is on the conventional ventilator. His settings are down to 40 breaths per minute. His oxygen rate is around 25%. The pressure that the ventilator puts in his lungs is down to 21. Also, he has fluid in his lungs so he is getting Atrovent breathing treatments every six hours.

Vein and Artery Access 
Eagan has a femoral line in his upper thigh.


He has no IVs.


He has no arterial line.

 

Medications

An antibiotic, Oxicillin is being given every six hours. 


Hydrocortisone, for blood pressure and stress response, is down to once every 48 hours.


He is now only on Morphine every 6 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 4 hours along with Albumen, a protein that makes up the majority of our blood.


He is back on Synthroid for low thyroid.


Nutrition 

 Feedings have been stopped. He is getting TPN, D15 clear fluid with potassium, and lipids.



Transfusions 
Transfusion #29 today.
 


Upcoming Tests

Another eye exam to check on the severity of his retinopathy of prematurity will be next Thursday.

Cranial ultrasound at 36 weeks gestation.

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