The developmental pediatrician came by this morning. She was unable to perform an exam a few days ago since Maxwell was not strong enough at that time to get any meaningful data. However today his mobility test showed that he is very strong considering how sick he currently is. He will be seeing a developmental pediatrician in this practice every two or three months after he leaves the hospital.
The respiratory therapist also saw Max today. She feels like he is making good progress recovering from the partial collapse of his right lung. The CPAP machine is evidently helping.
His bilirubin level is down to 34.5 from 36 yesterday. We're targeting under 20.
Platelet count is 43,000. The threshold right now for needing to receive additional blood products is 50,000 - so he'll be getting another unit. Not sure why the count is low if his bleeding has supposedly stopped.
Update: We were just reminded that his umbilical catheters — Umbilical Artery Catheter (UAC) and Umbilical Vein Catheter (UVC) — need to come out soon. They were only a temporary solution since they become an infection risk after 7-10 days. If the artery in his little arm will stay open for an IV, we can avoid resorting to a PICC (Peripherally Inserted Central Catheter) line.
11:00pm - His breathing is getting better and his oxygen was able to be reduced from 49% to 44%. If all goes well with the next two feedings, he'll also be able to reduce his intravenous TPN from 5.5 to 4.0. Hopefully, he'll soon get all his nutrition via oral feeding tube.
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