Friday, March 6, 2009

03.06.09

-Thanks God Adam reached the mile stone of 4 pounds two days ago and now he is out of the incubator and in an open crib. He is wrapped "As snug as a bug in a rug". He has a hat and full clothes on and 2 or 3 blankets. Because of the weight Adam no longer needs the pulse probe on him. He has one to monitor his heart rate and his respiratory rate.

-His Doctor is pleased with Adam keeping his temp that he feels tomorrow Adam will be sent to another floor to have an MRI on his brain since Adam is more mobile. The MRI will help to get a better view of what is going on in his brain more so than with an Ultra Sound. Adam will be given a drug to sedate him. It is very important that Adam not move during this test.

-Adam had another lab to check his red blood cells, the results came back and it is still looking good.

-Suzie was shown how to give Adam an infant massage on his little hands and feet and how each part on his hands and feet sends signals to different parts of the body when pressed. Adam seemed to relax and enjoyed the massage.

-Adam is still being feed gravity with some of his feedings. Right now he is getting about 2 bottles per shift and eating 34 cc's every feeding. Because of Adams weight gain his calories have been decreased to 24 from 30. There are 30 cc's in a ounce. Of course taking the bottles instead of the gravity feedings 2 times a shift can increase at the Nurses digression, if Adam is "routing around" for the bottle or is very alert it is best to give him the bottle. If Adam is too tired and a bottle is given to him, he will drop his heart rate for example from 160 something to 70 very quickly. The goal is to wean Adam off the gravity feeding completely. This is a must for him to go home but it can not be rushed. To coordinate sucking, swallowing, and breathing, it just takes time to learn.

There are a lot of criteria that must be meeting before Adam goes home:
Being 4 1/2 pounds and showing a pattern with increasing his weight, Eating and digesting his food, breathing on his own, maintaining his body temp, and no apnea spells. Right now, thanks be to God, Adam is handling the "Road Home" well. More to follow about this very soon…



No comments:

Post a Comment