10/4/06 - NICU Day #2

Nurses: Jincy, Carolyn

• Weaned from the dopamine overnight.
• PDA not seen on echo. However, pulse pressure is wide (~25) so PDA is presumed and plan for 3 doses of indomethacin (has received 2 so far).
• Lungs clear on X-ray. Minimal residual RDS with a question of hyperinflation.
• The official report identified PIE (pulmonary interstitial emphysema). Started on high frequency oscillatory ventilation with great success.
• Spontaneously diuresing. They expect to see this day 3 or 4, so he’s early. Early diuresis appears to be good for the lungs.