Joseph Day 1 NICU IMC- January 15, 2017

Arrival at IMC NICU

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Hi all,

Just wanted to make you aware that Jason and Kristine Daniels gave birth to beautiful twin boys this morning: Joseph and James. Both are over 7 lbs. and very cute. There were some complications with baby Joseph's breathing, though, and he was life-flighted from Alta View Hospital to the IHC Hospital in Murray. Joseph has a hole in his lung and will probably be in the NICU for a while. Baby James and Kristine are still at Alta View and are stable and doing well.

Please remember the Daniels in your prayers -- especially baby Joseph. And since this is our temple week, it would also be a great thing to put his name on the prayer roll if you are able. 

The Relief Society will be sending an email out soon requesting help with meals and with help taking care of the other Daniels kids. 

Thanks in advance for your caring and thoughts and prayers in their behalf.

Love,

-Bishopric
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Joseph Details 1/15/2017 - IMC 

Monday 9:00 pm

• Pneumo Media Stinum: Air escaping through small (microscopic) holes in the lungs to the middle of the chest - the area around the heart. 
  • The air will need to be absorbed by the body
  • There as some air in Altaview Xray ~9:30am
  • There as twice as much when he got to IMC - 12:27
  • By 8pm - it has reduced significantly - able to see some air in the lungs
  • X-rays give a GREAT visual
• Drugs
  • Dopamine - Increases blood pressure throughout body
  • Morphine - Pain killer and relaxant -
    • Prevents urination, requires catheter (@10pm he dropped 80 mg)
  • Melamine - Vasicular Vessel relaxant and increase heart pumping
• Pre-Saturation O2 Levels
  • The right arm and brain come from the same branch out of the heart.  What can be measured in the right hand is what is going to the brain
• Post-Saturation O2 Levels
  • Measured in the toe, is what the O2 is for the rest of the body and organs
  • The difference is caused by a shunt that should close for full term babies that prevents the blood coming in from a Vein from Mixing from the oxygenated blood out to the rest of the body. 
  • With the Lungs being compressed, not all the blood can get to them and is forcing this shunt open- mixing the blood and lower O2 saturation
  • As the lungs inflate correctly, the more blood can enter, the less pressure on the shunt, the better the post 02 sat stat
• Paralytic was given at ~6:30
  • Wore off by about 7:30
  • When this was given things got worse…because the ventilator was only pushing O2 in, but not pulling out…the intent was to let it escape naturally.
  • When this occurred, switched to a different ventilator that push oxygen in and pulls it out ~200/ min
  • While the paralytic itself did not help, the process allowed the docs to figure out that a different ventilator was needed