Kate has done great today. (I hate saying Kate and Great together because without fail I have the saying "I'm a poet and I don't even know it" pop into my head:)..... She has stayed in the mid 20's still on her F1O2. Her stomach is distended today which looks like it is from too much air due to the CPAP. She will be watched for the rest of the day and if her oxygen needs(F1O2) can be lowered then they will decrease the PEEP to a 7. This should help get rid of the gas filling her tummy. When she reaches a 6 on the PEEP and is stable then she gets to take the next step forward to a Hi-Flow Cannula.
There is a little concern about Kate not gaining as much weight as she should. On average this last week she is only gaining 9 grams per day and it should be at least 15 grams. It makes sense though because she hasn't been on a consistent 24 calorie fortifier to increase her gain because of her intolerance to it. She has done well on the Nutramigen fortifier the last couple days so they are going to increase her calorie intake on that today. She will have a complete nutrition blood panel done on Monday to make sure she is where she should be at for sodium, glucose, phosphorous, that her kidney's are working, and many other things that I can't remember:)
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