Holy crapola. Just some stats from miss A's discharge summary ..
Born 30.11.11 by c sec due to severe PE/IUGR/ AEDF (absent end diastolic flow)

Weight 850g
Height 33cms
Head Circumference 24cms
APGAR Scores 6 (1min), 7 (5 min), 9 (10min)

NICU time 61days
SCN time 31 days

Issues

Respiratory
Hyaline Membrane Disease (RDS)
Chronic lung disease / BPD
Apnoea of Prematurity

Management of Respiratory issues
-Supplimental oxygen (highest o2 concentration given was 45%)
Oxygen given for a total of 1681 hours.
-Ventilation for HMD (total hours 95h25m) self extubated.
-Nasal CPAP (total hours 1332hrs)
-2x doses of surfactant used first given ay 4hrs of age.
-caffeine given for 64days
-morphine
-immunisations

Cardiac issue of PDA managed by frusemide, saline volume expansion, pharmacologic treatment of PDA (ibuprofen) unable to complete course of ibuprofen due to renal impairement. Duct closed with time.

Haematological issues

-anaemia of prematurity (2xtop up transfusions given & on ferrous)
- jaundice (phototherapy used for 25hrs)

Neurological diagnosis
-Bilateral IVH grade 1
NO ROP

Infections
- septicaemia (coagulase neg staphylococcus at 11 days old ( course of abs benzylpenicillin, gentamicin & vancomycin)
-lumbar puncture
-crp was 48

Metabolic issue - lactic Acidocis

Gastro intestinal - GERD (reflux) colic, constipation, umbilical hernia.

Umbilical catheter for 89hours.

Parenatal Nutrition for 13days (TPN) NG tube feeds

Enteral feeding commenced 4.12.11 full enteral feeding achieved 14.12.11.

Discharge weight 3.644kgs

I knew lots happened, but whoaaaa. She's come a long way.

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