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June 23,2004
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Nathan was born at 3:09 a.m. He weighed 615 grams (roughly around 1 pound 4 ounces). He was 29.5cm (11.6 inches). His eyes were still fused shut. He was 24 weeks and 3 days gestational. |
Here is the short (really) version of just the medical aspect of Nathan's NICU stay......
Birthday!
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June 23,2004
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Nathan was born at 3:09 a.m. He weighed 615 grams (roughly around 1 pound 4 ounces). He was 29.5cm (11.6 inches). His eyes were still fused shut. He was 24 weeks and 3 days gestational. |
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APGAR Scores |
5 at 1 minute and 6 at 5 minutes. He required bag and mask resuscitation, was given surfactant and was intubated in the nursery. |
Procedures while in NICU
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6-23-04 |
surfactant therapy, echocardiogram, phototherapy, PICC line placed |
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6-25-04 |
cranial ultrasound |
| 6-29-04 | echocardiogram |
| 6-30-04 | echocardiogram |
| 7-02-04 | blood transfusion |
| 7-06-04 | blood transfusion |
| 7-08-04 |
cranial ultrasound |
| 7-10-04 | blood transfusion |
| 7-12-04 |
cranial ultrasound |
| 7-15-04 | platelet transfusion, blood transfusion |
| 7-16-04 | echocardiogram, abdominal ultrasound |
| 7-17-04 | platelet transfusion, blood transfusion |
| 7-18-04 | platelet transfusion |
| 7-20-04 | platelet transfusion |
| 7-21-04 | blood transfusion |
| 7-23-04 | platelet transfusion, PICC line |
| 7-24-04 | blood transfusion |
| 7-25-04 | platelet transfusion |
| 7-26-04 | EEG, cranial ultrasound |
| 7-27-04 | renal ultrasound |
| 7-29-04 | platelet transfusion, blood transfusion |
| 8-06-04 | blood transfusion, 2 abdominal ultrasounds |
| 8-09-04 | platelet transfusion |
| 8-16-04 | abdominal ultrasound |
| 8-24-04 | upper GI series, blood transfusion |
| 9-08-04 | sleep study before being released |
*Resolved* Diagnoses while in the NICU
these have the day noted and the day resolved
| Patent Ductus Arteriosis | 6-23 / 6-30 medications: indomethacin |
| Arrythmia | 6-24 / 7-7 had arrythmia on 6-23, possible 2nd degree heart blockage |
| Possible Sepsis | 6-23 / 6-30 medications ampicillin, gentamicin |
| Possible Sepsis | 7-1/7-31 medications oxacillin, gentamicin, ambisome, cefotaxime, |
| Candida UTI | 7-13 / 7-20 medications ambisome |
| Conjunctivitis | 8-04 / 8-11 medications Na Sulamyd Ophth |
| Thrombocytopenia | 7-7 / 9-4 received platelet transfusions for this |
| At Risk for IVH | 6-23 / 721 received cranial ultrasounds |
| Apnea of Prematurity | 6-25 / 723 medications caffeine citrate |
| Seizures | 7-25 / 8-12 medications phenobarbital, EEG |
| Ascites | 8-12 / 8-26 abdominal ultrasounds to monitor |
| Possible Malrotation of Bowel | 8-12 / 8-26 abdominal ultrasounds and upper GI series |
| Hydronephrosis | 7-13/7-31 renal ultrasounds to monitor |
| Hydronephrosis | 8-07 / 8-25 medications amoxicillin abdominal and renal ultrasounds |
| LINES | had many PICC lines placed.... as well as UVC (umbilical venous catheter) on insertion of the UVC perforated his liver, one PICC line infiltrated and caused swelling of his entire body |
| Hypoproteinemia | 7-16 / 7-24 medications albumin |
| 2 month Immunizations | 8-22/9-05 |
| Hypocalcemia | 6-24/6-27 medications calcium gluconate |
| Hyperglycemia | 6-24 / 6-27 put on insulin drip |
| Hyperglycemia | 7-12 / 7-15 put on insulin drip |
| Hyponatremia | 7-21 / 7-24 medications calcium gluconate |
Summary Information
Respiratory Support
| conventional ventilator | 6-23-04 / 6-26-04 |
| NP CPAP | 6-26-04 / 7-01-04 |
| conventional ventilator | 7-01-04 / 7-15-04 |
| oscillator vent | 7-15-04 / 7-16-04 |
| conventional ventilator | 7-16-04 / 8-11-04 |
| nasal CPAP | 8-11-04 / 8-21-04 |
| nasal cannula | 8-21-04 / 2-08-05 |
Nutritional Support
| IV Fluids | 6-23-04 / 6-24-04 |
| TPN ( total parenteral nutrition by IV) only | 6-24-04 / 7-06-04 |
| TPN and feeds | 7-06-04 / 7-08-04 |
| TPN only | 7-08-04 / 8-01-04 |
| TPN and feeds | 8-01-04 / 8-12-04 |
| IV Fluids and feeds | 8-12-04 / 8-15-04 |
| gavage feeds | 8-15-04 / 9-04-04 |
| gavage and oral feeds | 9-04-04 / 9-05-04 |
| oral feeds | 9-05-04 / 9-08-04 (day of discharge) |
Diagnoses that were deemed *on going and active* at the time of Nathan's Discharge on September 08, 2004
| Bronchopulmonary Dysplasia | onset 6-23-04 received the medications albuterol, fentanyl, furosemide, lasix, chlorothiazide, spironolactone, and surfactant during NICU stay. Was ventilated several times during his stay |
| Patent Formen Ovale | tiny pfo in his left -to-right flow ( this resolved by December 04) |
| Anemia of Prematurity | he had several blood and platelet transfusions for this put on iron enriched formula when discharged |
| Elevated Liver Enzymes | Had blood work performed once a month to watch these levels.... (resolved by Jan 05) |
| Hypothyroidism | received daily doses of synthroid while in the NICU and until his 2nd birthday |
| Retinopathy of Prematurity | received weekly visits to the Dean McGee Eye Institute, laser surgery on his left eye in October 2004, laser surgery on his right eye in November 2004. He got glasses in June 2006 |
Thankfully Nathan required no surgeries while in the NICU. He had his laser surgeries after coming home, and in May 2005 he had surgery for bilateral hernia's, removal of a fluid sac, undescended testicle and got circumcised all at once!
we've come A LONG WAY
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