Day 159 - Juju is back & Wrist Xray
Monday, June 7th, 2021
Juju came for a last visit before heading back to Jax with Aunt Robin and the dogs. Dad came back from his boys trip in Orlando. Monday mornings are always busy with scans, labs, and measurements.
Changes/Updates:
Measurements:
- Weigh-in: 5470 grams (12lbs!)
- Head Circumference: 38 cm
- Length: 49.53 cm
Mom charted these on a grow chart for preterm boys born at 26 weeks.
Blood Gas: CO2 69.7
Wrist Xray: He has a healing fracture on his left wrist?!
FINDINGS: 2 views of left wrist with particular attention to the distal left radial and ulnar metaphyses. Overall density of bones normal. Provisional zone of calcification is identifiable at both radius and ulna. There is deformity in the distal left radial metaphysis with angulation and some cortical thickening, suggesting a healing or healed fracture.
FINDINGS: 2 views of left wrist with particular attention to the distal left radial and ulnar metaphyses. Overall density of bones normal. Provisional zone of calcification is identifiable at both radius and ulna. There is deformity in the distal left radial metaphysis with angulation and some cortical thickening, suggesting a healing or healed fracture.
Feeds: Increased to 120ml
Vent Settings change: James tried Auto Control mode today! This means that James was responsible for taking his own breaths. He still had the PEEP, and FiO2, etc.. he just didn't have the Rate. So when he would initiate the breath he would get all of the pressure support. If he would go longer than 5 seconds the vent would kick in. James did well for his first "sprint". The ventilator in AC mode is programmed to sense changes in the system pressure when a patient initiates a breath. When the diaphragm contracts, the intrathoracic pressure becomes more negative. The negative pressure is transmitted to the airways and then to the ventilator tubing, where sensors detect the change in pressure and deliver a breath to the set tidal volume. The amount of negative pressure needed to trigger a breath is called the trigger sensitivity and is usually set up by the respiratory therapist.
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| Sitting up in his boppy |
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| View outside of James' window at Room 2120 |
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| Just started grabbing his animal! |
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| Fell asleep with his pacifier half way out. |
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| James sleeping East to West. |
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