December 23 11am – NICU Visit

  • Respiratory
    • Olivia’s blood gas test results were described as “decent”
    • Olivia had a chest X-ray
      • Revealed that her lungs are still not as expanded as we had hoped
      • NICU doctors are tweaking ventilator pressure in response
  • Digestive
    • Olivia’s blood sugar levels are high.
    • Doctors and nurses work to create a custom mix for her on a daily basis depending on her blood tests and dietary needs 
    • Olivia had a few “trophic feeds” prior to her re-intubation
  • Sedation
    • Olivia continues to require sedation for comfort from the oscillating ventilator and regular care time disturbances
    • This is not expected to be required long term
    • There are no concerns with her needing this sedative for long-term health
    • Olivia received a muscle relaxant yesterday to continue to comfort her.
  • Other
    • Doctors have started Olivia on “prophylactic antibiotics” (meaning antibiotics in advance of knowing whether or not there’s actually an infection
      • This is a very common practice because bacterial blood cultures take 48 hours to come back, but the risks of treatment in absence of an infection are almost zero
      • Lab work looked good overnight, but need to wait longer for more definitive results here
      • If there is an infection, the antibiotics will either do their thing, or the doctors can pursue other antibiotic treatments
    • Olivia tends to prefer being on her belly as shown by her vitals
    • We are still not allowed to hold Olivia, that will likely remain impossible while she is intubated and on this specific ventilator
    • During our visit, Olivia’s nurse performed a blood sugar test. Despite no improvement in the results, what’s notable is that Olivia handled that stress very well.

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