10/10/06 - NICU Day #8 (11 PM)

Nurse: Christy

• Daniel's challenges continued into the night. He wasn't adequately ventilating or oxygenating despite the changes in the vent settings. His feedings through the OG tube were stopped. When his nurse suctioned his airway there was a large volume of secretions. Ultimately, his team concluded that his endotracheal tube was occluded and replaced it. His O2Sat improved but he still required high FiO2. However, his 10:30 ABG was "excellent" and with subtle changes in position his numbers significantly improved. The plan for overnight is getting a chest X-ray and stabilizing his position to maximize his ventilation and oxygenation. We'll follow-up during the night.