Happy New Year

Zane remains intubated, he xray looked better then the day he was on cpap  but since then his xrays have not shown any improvement.  He has chronic lung changes and although he has better saturations while on the ventilator, the ventilator itself causes damage to his lungs. This is one of these catch 22 situations, you do not want to extubate until you know the infant is at optimal nutrition and "health" so that he does not fail extubation but the longer you wait the more you cause problems to his lungs.

Zane also lost his PICC line the other day (it was found leaking in his bed) two people (RN/NNP) attempted to place a line neither one was successful, a third person (RN) placed  a peripheral line so he has some access (good going third RN :-) she was also the only RN to ensure Zane has proper pain control.  It infuriates me when providers fail to order or give pain medication,  placing a PICC is painful and each stick is painful ---just because the infant can not cry or ask for pain medicine does not mean they do not need pain medicine!!!

Zane received yet another blood transfusion apparently Zane 's magic crit number is 32 once he starts to dip below this number his oxygen saturation start to have wide swings. Because he received blood his feeds were stopped again and he will have to once again work up on his feeds.