Day 17 - Rest Up Baby James

1/16/21 - Saturday

Morning:  Down to 58% on oxygen. X-ray is good. Fluid in spinal tap is clear and no sign of infection. Weight is up. Urine output is good. Feeding and IV nutrition is increasing. If culture comes back, then will remove antibiotics. C-reactive is normal. CBC for blood will be tomorrow. Feedings will resume at 4 ML at 24 calories today. When he gets back to 7ML again, they will increase to 26 ML.  Overall, great progress from last night.  James just needs to get the FIO2 numbers to decrease back to the 30-40% range, which will show that the infection has diminished. 

Last night weighed in at 740g, which is his highest yet. He’s up from 655g. This could be due to the blood transfusion. We will get another weigh in tonight. 

Due to James very uncomfortable in the position needed, the spinal tap wasn’t able to get enough fluid to check for protein, glucose, and cell count. But they really only wanted the culture, which they got and it’s clear. 

He had IVs in both arms, but both went bad. One was leaking and the other wasn’t flushing. Now he has only one in his  leg for his fluids. If he needs blood, he will need another IV put in. Possibly a PICC line. We are hoping he can tolerate his feeds to remove all IVs and avoid the ports that could be leading to the infections... but he needs the ports for his fluids and/or blood transfusions. 😒 

Hands On Time: Lindsay changed his diaper, took his temperature, did mouth care (used a wet qtip to clean the cheeks of his mouth), and was able to give him kisses.