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Thread: Brendan's Discharge Summary

  1. #1

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    Default Brendan's Discharge Summary

    Sorry it's long, I did shorten it... he had 3 pages of info!!
    Ok, I finally have it and have finally got the guts to read it. So here goes:

    Birth weight 1545gms (56th %ile) Sex M Birth Gestational Age 30 weeks
    Nursery discharge weight 2190gms
    Birth head cicumference 29.5cms (82nd %ile) Length 40.5cms
    Head cicumference on discharge 32.5cms

    Presentation was Cephalic OA, and membranes were ruptured for 344.75 hours before delivery (2 weeks 0.36 days)
    Delivery occured by SVD
    Apgar Scores assigned were 2 at 1 minute and 4 at 5 minutes of age
    Resuscitation required was intubation + ECM + Adrenaline +/- NaHCO3
    Cord Blood pH was 7.12, pCO2 80 and BE 2.7

    Maternal Factors this pregnancy were...
    Antenatal steroids ->7 days from last dose to delivery
    Amnionitis
    Fever
    Asthma
    Miscellaneous - Fetal tachycardia
    Antibiotics given pre-delivery
    Spontaneous Preterm Labour
    PPROM

    Brendan's Nursery stay: Intensive Care 6 days Special Care 35 days



    Respiratory diagnosis...
    Hyaline Membrane Disease
    Apnoea of Prematurity
    Respiratory management...
    Ventilation time 13hrs 23mins
    CPAP time 67 hours
    Survanta...
    2 doses of surfactant used
    Caffeine for 29 days

    Haematological / Jaundice diagnosis...
    Jaundice - Prematurity/Physiological
    Peak measured bilirubin was 227 micromoles/L
    Phototherapy for 147 hours
    Haematological / Jaundice managements...
    Fergon
    Phototherapy

    Neurological diagnosis...
    Cardiorespiratory Depression at birth
    Intraventricular Haemorrhage / PVL - Maximum IVH Grade was 0 (right) and 1 (left)
    There was no PVL demostrated

    Neurological managements...
    Cranial U/S
    26/02/2007 normal
    05/03/2007 normal
    22/03/2007 Tiny CP cyst in (L) caudothalamic groove probably the site of a tiny (L) SEH (resolving).
    Eye examination
    26/03/2007 no ROP
    Lumbar Punture

    Infection diagnosis....
    Septicaemia
    Aquired septicaemia at 8 days with Coagulase Negative Staphlociccus
    Suspected infection
    Infection managements...
    Antiobiotics
    course 1 for suspected infection 25/02/2007 to 01/03/2007
    Penicillin 5 days
    Gentamicin for 3 days
    Course 2 for septicaemia from 07/03/07 to 12/03/07
    Vancomycin for 6 days
    Gentamicin for 4 days
    Blood culture
    25/02/07- grew no organisms
    05/03/2007- grew Coagulase Negative Staphlococcus
    07/03/07- grew Staphylococcus epidermidis

    Metabolic/ Biochemical diagnosis...
    Hypogycaemia
    lowest measured blood glucose 2.0mmol/L
    Metabolic/ Biochemical managments
    parenteral dextrose

    Vascular Access managements
    Umbilical Arterial Catheter for a total of 38 hours
    Umbilical Venous Catheter
    Peripheral IV

    Nutirtion managments
    Parenteral Nutrition for 11 days

    Naso-gastric feeds

  2. #2

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    Wow...thats alot of info for Brendan....all i can say is you have a great little fighter for a DS!

  3. #3

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    Oh my gosh, grow strong little man.

  4. #4

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    OMG, Sally, even though I know Brendan is doing really well now, I'm almost in tears reading all that! I can't imagine how hard it must have been on you. You and your little boy are so brave.
    Have you gone over his records with a Dr before? I believe that can be helpful - the debriefing is so important even after time has passed.

  5. #5

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    Quote Originally Posted by Snacks View Post
    Have you gone over his records with a Dr before? I believe that can be helpful - the debriefing is so important even after time has passed.
    Thanks Snacks. I have only just received them and have some questions for his paed. Brendan's next Paed appt is on the 7th of May(1yr corrected).

    I am sooo proud of him, I knew he was strong... but I had no idea of everything that was happening to him. It's so overwhelming at the time. I'm really glad I requested the info... it's helped answer some questions I had.

  6. #6

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    I can well imagine how overwhelming it would be, even now as you begin to look at it all let alone back then.
    I hope the paed takes the time to work through it all with you, and that you can continue to heal from the experience.

  7. #7

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    Snacks, Thanks so much for your kind words. I like to think the experience has made me a stronger person too. I am focusing on positives rather than negatives. Which really helps!

  8. #8

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    Definitely! And the biggest positive of all would be seeing how far he has come

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