Monday, February 6, 2012

NICU Day 13 (December 20th)

Overall, Noelle had a stable day.  She was weaned off the jet ventilator which is a step down and another step closer to her breathing on her own.  She will have to do more of the work with the machine she is on, but she tolerated it well for the most part today.  Her blood gas tonight was not quite what they wanted to see, so they have told us not to be alarmed or surprised if we come in tomorrow and they have put her back onto the jet ventilator.  This could go back and forth for a bit.  Her right lung still has some areas that are not inflating as well, so they were hoping that her working more on her own would help solve that problem.  Tomorrow morning's x-ray will tell if that was true or not.  Her white blood count was elevated again--higher than the first time.  It still is within normal range, but they are testing her blood for infection to be safe.  They had to take blood from her line to make sure there isn't an infection in the line, and they also had to stick her and get blood from her directly.  I thought it was not fun to get stuck myself, but watching your tiny baby girl get stuck is 1000 times worse!!  The blood will be watched for the next 72 hours very closely.  Basically, no news is good news during that time period, so we are praying that she is not developing any kind of infection.  They bumped up her feeds again today as she is tolerating them quite well, so she is now receiving .5 milliliters per hour.  She lost 20 grams again--she has been fluctuating between 410 and 430 grams for the past week, and they aren't quite sure why.  They adjusted her caloric intake today and were evaluating her metabolics, so hopefully between all that they can figure out how to start helping her put on weight.  It takes a lot of time though during these first weeks, so we are just thankful that she never dropped below her birth weight even as she lost all the extra fluid that came from the delivery.  Again, thank you so much for continually praying for all of us. Good night.

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