Saturday, January 21, 2017

Joseph Day 5 - NICU - Friday January 20


Joseph - He is still critical and on the ventilator, but continues to improve.  He is now off the morphine drip (although he still gets some every 4 hours) and is breathing more and more on  his own.   Mom as able to hold him tonight for about an hour (GOOD).  The docs are hoping to take him off the ventilator tomorrow and move him to to a  CPAP machine.  They still won't guess when he gets go home, but we are hopeful for a week or so. 

Thanks to all of you for the love and support (spoken and unspoken).  Please know it has an affect and we feel the support and are very grateful for all of it. 

Jason and Kristine

Joseph....

6:45 am - Emma
    • NOTE: the N0 was supposed to be dropped down to 4 at 6am
    • Pretty Sleepy
    • O2 - 9797
    • O2 been at 28%
    • NO at 4 ppm as of 6am
      • Tolerating the 4ppm well
  • TCM 50

Day Nurse : Tyler
1pm
    • NO2 down to 4 and will be at 0 by 6am 1/21
    • Started feeding 8 ml every 3 hours
    • O2 - 24 ->30%
    • Morphine down 1/3 @ 11 am and still very few breaths at 1pm
    • Ativan scheduled Q6 - every four hours
    • X-Ray shows no trace of either pnuemo thorax nor pnuemomediastinum
    • On arrival @ 1pm self breaths increase to 10-15, dropped back to a few per minute @ 3pm
    • Would like skin to skin tomorrow afternoon
    • Continues to improve on tone and response
    • Still a bit of swelling
      • However is peeing lots …about the same amount as is given 
  • Left 40 ml of breast milk
    • WILL NEED: ~60 ml

11:15 pm - Nurse: Heidi
    • Sleepy - 
    • Morphine - .3 
    • Breaths- 3-7 on his own
    • NO2 - @ 2 
    • O2 - 28% up just a touch
    • Tolerating the feeding? Well - 
      • 8 mls / hours
      • Stomach still soft
        • 33 cm 


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