Zane remains on the JET ventilator and his lungs have several areas of PIE. He still has not stooled and his urine output has decreased to ~ 1.4ml/kg/hour. He had his last dose of neoprofen Wednesday night but he still shows signs of a PDA. He was echoed today and I would not be surprised if the echo showed that his PDA was still open. If the PDA remains open he will need to be ligated and hopefully that will occur in the next day or two.
His UVC (umbilical venous catheter) was removed as he had a PICC line placed. A PICC (peripherally inserted central catheter) will allow Zane to receive intravenous fluids (TPN ) and lipids and is a long term IV, so he will have fewer peripheral IV sticks during his stay. Kudos and thank God for the nurse who placed his line :-)
Zane was lucky that he had a great neonatal nurse practitioner on service last night; she kept close tabs on him and took the time to explain the xrays and what her plan was for him for her shift. As each day passes I realize how much the "luck" of the patient is dependent upon the nurses and doctors who care for them. When newer nurses and inexperienced physicians work in tandem, the results can be disastrous for the patient.
Subscribe to:
Post Comments (Atom)
No comments:
Post a Comment