Baby Eagan - NICU Day 85 - HUGE Day Tomorrow

Eagan will be extubated tomorrow morning! No more stinky ventilator for this big boy! I'm extremely nervous and hope this goes well. Re-intubation isn't very good for him. BIG prayers for the little man that he is a trooper and is ready to get rid of the not-so-friendly vent. Praise report of the day - he had his cranial ultrasound and it was absolutely perfect. He is a 25-weeker with no brain bleed. Talk about miracles right there!

  I went home for a night to spend with the kids. We had a blast watching movies, building Legos, and playing with the toy kitchen. Evelyn got her hair done at least three times. She had everything from tiny french braids to ponytails. She is a former 32-weeker and a big miracle just like her baby brother!

Weight
4 lb 2.5 oz- This is actual weight gain, not swelling!

Breathing
Eagan is on the conventional ventilator. His settings are down to 20 breaths per minute. Until Eagan loses a bit more weight, the rate will stay at this number.  His oxygen rate is around 21%. The  tidal volume support is down to 6.0.  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.

Medications

 
Fortaz, an antibiotic, was also finished today.

An antibiotic, Oxicillin has been discontinued.

He is now only on Morphine every 6 hours as needed. He had once dose of Morphine this morning.

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 daily.

He is back on Synthroid for low thyroid.

Nutrition

  Eagan is getting 6 cc's of breast milk continuously every hour. The output into his ostomy bag is being put through a tube into the other side of his intestines, called re-feeding. He was getting 2 ml per hour of re-feeds. Now, everything he puts out into his ostomy is re-fed into the mucous fistula. Today, the tube in the mucous fistula was changed from a regular feeding tube to a foley catheter because the feeding tube wouldn't stay in place. The foley has a small bulb that can be inflated with saline to keep it in place. He is getting TPN and lipids.

Transfusions 

June 23 - Transfusion #29
 

Upcoming Tests

Eye exam  Monday.