[Enzo] Day 25 report

  • From: "Phillip Koken" <phil@xxxxxxxxx>
  • To: enzo@xxxxxxxxxxxxx
  • Date: Tue, 6 May 2014 21:00:50 -0700

Day 25
Doctor: Dr. Jamieson E. Jones
Nurses: Leah (night), Stacey (day)
RT: Yvonne (day)
Gestational age: 32 3/7 weeks
Weight: 1506 g
Length: 40 cm (5/5/14)
FiO2: 33%
Flow: 2 LPM on HFNC
Feeding: 28 ml Q 3 hr. (24 cal breast milk with 1 ml liquid protein
added.) through NG tube. PO multivitamin and caffeine.
New orders: begin weaning HFNC .5L q 12hr as tolerated. 
Other issues: left lung ongoing PIE
Other notes: resting mostly on left side or prone, little to no residuals,
elimination good (so much poop!)

Enzo had a quiet and uneventful night of rest on Monday night. 

Tuesday morning we found Enzo sound asleep and preparing to be fed. Kelly held 
Enzo through his morning feeding. Today was MUCH better than yesterday, with 
only a couple of significant apnea spells. Everyone was pleased with Enzo's 
progress, including his doctor who told us "I don't need to see you"... exactly 
what we want to hear right now.

Enzo will have his nasal canula reduced to a lower flow rate at some point late 
today. When we left he was at 2 liters per minute and 30% oxygen. He will be 
tested at 1.5 liters per minute and the respiratory therapist will see how much 
the O2 percentage needs to be increased to keep his blood oxygen saturation up. 
If everything works out, then he will remain at the lower flow rate. All of 
these steps are moving us toward the point where he won't need any oxygen 
support. As his left lung grows and heals his breathing is becoming easier (as 
long as he remembers to breathe). 

In closing, I will offer that if Enzo's weight is not significantly higher
tomorrow, it will likely be due to the large amount of dirty diapers he
produced today... It's amazing what can fit into such a tiny creature!

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