[Enzo] Day 27 report - Move to nasal cannula
- From: Kelly Groves <kelly@xxxxxxxxx>
- To: enzo@xxxxxxxxxxxxx
- Date: Thu, 8 May 2014 21:39:30 -0700
Day 27
Doctor: Bob Piecuch
Nurses: Leah (night), Ruth (day)
RT: Amy (day)
Gestational age: 32 5/7 weeks
Weight: 1564 g
Length: 40 cm (5/5/14)
FiO2: 25%
Flow: 1.5 LPM on NC
Feeding: 30 ml Q 3 hr. (24 cal breast milk with 1 ml liquid protein added.)
through NG tube. PO multivitamin and caffeine.
New orders: increased feeding regimen, chest X-ray tomorrow morning
Other issues: left lung ongoing PIE
Other notes: ongoing weaning of oxygen support .5L q 12hr as tolerated, little
to no residuals, elimination good
Today was mostly more of the same for Enzo, and that's great!
Enzo had a peaceful evening last night. When Leah weighed him, he tipped the
scale at almost 30 grams heavier. That means he's put on 258 g in the last
week!
Adam spent the evening working on finding the right balance for his respiratory
support. Enzo did great at 1.5 LPM and 25%. They tried him at 1 LPM, and he
lasted about 20 minutes before he started losing blood-oxygen saturation. Amy
monitored him closely throughout he day and at the 2 o'clock feeding, she was
comfortable changing his hardware out for a standard nasal cannula. Enzo misses
his "handlebars", but he's so much more comfortable now! Only thing is that he
has to find something else to grab onto.
Our little guy was unusually fussy today (but never inconsolable). I can only
assume that he's still recovering from yesterday's trauma, even though the only
physical trace was a little extra goop in his eyes. It just seemed like he
could never find a comfy position to lie in.
He's finally moving up in the feedings (increasing the quantity per body
weight)--today's ration was an ounce of fortified breast milk plus 1ml of
liquid protein each meal. Even though he's ramping up quickly, he has had very
little "residual" food left in his tummy when the next mealtime rolls around,
three hours later. We're looking forward to even more progress as he continues
tolerating the increased quantity. Also, he's grown so much that the NG tube
was moved from 16 to just shy of 18! After all, he's now more than 25% heavier
than he was at birth!
Dr. Bob, who's director of the NICU, ordered a follow-up chest X-ray for
tomorrow morning. (They're usually done at about 5 a.m.) This will be Enzo's
first since 4/28, and it will be interesting to see the change that's happened.
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- » [Enzo] Day 27 report - Move to nasal cannula - Kelly Groves