10/14/06 - NICU Day #12

Nurse: Shanti

• Today was a bit of a rough day.
• Daniel's oxygen saturation spent a lot of the morning bouncing up and down.
  
• His noon CXR showed a mix of atelectasis (partial collapse) and pulmonary edema. His breathing tube was also a little low. He also squirmed a lot and wouldn't settle down to sleep. His attending believes the findings and behavior are related to his recent surgery.
• At around 4:30 PM, he received two doses of fentanyl (to relax him), a dose of lasix (to dry him out), and albuterol (to open his airways). His vent settings were increased to 20/5 at that time as well. Since then, he's been very stable and they were able to reduce his oxygen requirements. His 7 PM gas demonstrated improvement in his CO2 and O2 levels.