Friday, October 06, 2006

10/5/06 - NICU Day #3

Nurses: Jincy, Carolyn

  • Mild-moderate (20-30% lung volume loss) right pneumothorax (PTX). The 6 AM X-ray was interpreted as PTX versus pneumomediastinum. The 9 AM follow-up showed a slightly larger PTX. A right-sided chest tube was placed at around 10 AM and a chest x-ray (CXR) showed improvement.
  • After the tube was placed we held him in his isolette for a little while. His blood type is O+. Jenny and I must both be AO.
  • The PTX failed to completely resolve on a repeat CXR so the chest tube was adjusted. This still didn’t fully succeed so the chest tube was replaced (after confirming that the PleuraVac was working correctly).
  • Final CXR of the day shows the tube in the appropriate location and no residual PTX.
  • Last dose of indomethacin given. Pulse pressure down to 15-20 mm Hg
  • Blood pressure remains strong.

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