Day 28 - Change of Scenery

Wednesday, January 27, 2021

Morning: James got his incubator turned around this morning and rotated a full 180°. New scenery for the little guy. The room looks bigger without the oscillator and moving the new ventilator to the side of the incubator. Overall, James is good. His levels are fluctuating up and down right now. His FiO2 is 40% which is fair. He had a bowel movement this morning on his own and will be bumped up to 19mls later today. The nurse thinks he is close to doing skin to skin.

The nurse gave us a recordable storybook to play our voices for him.

Today is the last day getting weaned off the steroid. This usually makes the stats fluctuate. Possibly could see him back on the oscillator depending on how James does.

Some respiratory and weight goals with the new ventilator:

PEEP: 5-6 (currently at 7)

Set Rate (SIMV): 20-25 (currently at 40)

O2: 30-35

Weight: over 1,000g


Before




After


Evening: Did a 2nd blood gas (heel stick) due to a higher reading this morning. This one came back lower, which is good.

Weighed in at 925g. He gained 35g! The goal is to gain 15-30 grams a day.


He likes to take off his mittens!









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