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Thursday, October 26, 2006. 10/26/06 - NICU Day #24 - Daniel's Last Day. Daniel died today at 1:22 PM. Daniel's metabolic acidosis worsened during the night. He received two boluses of bicarb. His bradycardias had become less frequent. The 6:30 AM gas had a pH of 6.6 and a base excess of -20. A bicarb drip was started. Blood cultures were drawn and Abelcet (liposomal amphotericin) was started to cover for fungal infection although there were very few indicators for an infection. Daniel's tension pneumoth...

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Thursday, October 26, 2006. 10/26/06 - NICU Day #24 - Daniel's Last Day. Daniel died today at 1:22 PM. Daniel's metabolic acidosis worsened during the night. He received two boluses of bicarb. His bradycardias had become less frequent. The 6:30 AM gas had a pH of 6.6 and a base excess of -20. A bicarb drip was started. Blood cultures were drawn and Abelcet (liposomal amphotericin) was started to cover for fungal infection although there were very few indicators for an infection. Daniel's tension pneumoth...

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1 posted by

2 evan stein

3 17 comments

4 3 comments

5 another eventful morning

6 1 comment

7 nicu day #22

8 4 comments

9 nurse maria

10 nurse michelle

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posted by,evan stein,17 comments,3 comments,another eventful morning,1 comment,nicu day #22,4 comments,nurse maria,nurse michelle,2 comments,nurse ebony,10 comments,nurse debbie,5 comments,nurse shanti,nurse jodi,picasaweb,no comments,11 comments,orly

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Mr. Stein's Blog | mrsteinsblog.blogspot.com Reviews

https://mrsteinsblog.blogspot.com

Thursday, October 26, 2006. 10/26/06 - NICU Day #24 - Daniel's Last Day. Daniel died today at 1:22 PM. Daniel's metabolic acidosis worsened during the night. He received two boluses of bicarb. His bradycardias had become less frequent. The 6:30 AM gas had a pH of 6.6 and a base excess of -20. A bicarb drip was started. Blood cultures were drawn and Abelcet (liposomal amphotericin) was started to cover for fungal infection although there were very few indicators for an infection. Daniel's tension pneumoth...

INTERNAL PAGES

mrsteinsblog.blogspot.com

1

Mr. Stein's Blog: 10/22/06 - NICU Day #20

http://mrsteinsblog.blogspot.com/2006/10/102206-nicu-day-20.html

Sunday, October 22, 2006. 10/22/06 - NICU Day #20. In an attempt to give Daniel's kidneys the best possible chance of healing, his blood pressure is being maintained with dopamine, dobutamine, and epinephrine. Attempts were made today to lower the levels of these medications because they come with their own risks but they have all proved necessary. He is still resting comfortably. Dear Jenny and Evan,. We love this sweet little boy and his parents so much. We pray that his kidneys start working.

2

Mr. Stein's Blog: 10/21/06 - NICU Day #19

http://mrsteinsblog.blogspot.com/2006/10/102106-nicu-day-19.html

Saturday, October 21, 2006. 10/21/06 - NICU Day #19. Anuria continues. Complications of the fluid and electrolyte retention have developed. The potassium is relatively stable at 6.1. After yesterday's rectal bleeding, kayexalate is being held and he is just being maintained on insulin and glucose. The abdominal radiographs are unremarkable and his belly is soft. The hematocrit this morning is also down (28.9) and he will require a transfusion - adding to both his fluid and potassium load.

3

Mr. Stein's Blog: 10/23/06 - NICU Day #21 (Noon)

http://mrsteinsblog.blogspot.com/2006/10/102306-nicu-day-21-noon.html

Monday, October 23, 2006. 10/23/06 - NICU Day #21 (Noon). Already an extremely eventful morning. When we returned to the NICU at 9:30 AM, the weekday attending was placing a new chest tube for a tension pneumothorax. Daniel's blood pressure was stable but he was oxygenating very poorly. He had bright red blood from his rectum with a few clots again. A surgeon will come to examine him but in the meantime he will get red blood cells, FFP, antibiotics, and serial X-rays to follow for NEC. It is not everyday...

4

Mr. Stein's Blog: 10/21/06 - NICU Day #19 (late day)

http://mrsteinsblog.blogspot.com/2006/10/102106-nicu-day-19-late-day.html

Saturday, October 21, 2006. 10/21/06 - NICU Day #19 (late day). Daniel is in critical condition. He has been anuric for 3 1/2 days. His potassium tonight is 7.2 and his creatinine is 3.7. They've increased the insulin and glucose drips. He'll get dialysis if his EKG changes. His right pneumothorax never fully resolved and his left lung is atelectatic and his right lung demonstrates severe PIE. They'd like to lie him on his side to hypoventilate the bad lung but he can't tolerate it. Our prayers are with ...

5

Mr. Stein's Blog: 10/19/06 - NICU Day #17

http://mrsteinsblog.blogspot.com/2006/10/101906-nicu-day-17.html

Thursday, October 19, 2006. 10/19/06 - NICU Day #17. Nurse: Debbie, Serica. FiO2 is still at 35%. They're hyperventilating him to compensate for a metabolic acidosis. He's been oxygenating much better since he was sedated. OG tube feeds were started at noon today at 0.5 cc/hr. Daniel is tolerating them well. We are thinking of all of you. keep up the good fight, daniel! Subscribe to: Post Comments (Atom). View my complete profile. Other links about Daniel. 10/21/06 - NICU Day #19 (late day).

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Thursday, October 26, 2006. 10/26/06 - NICU Day #24 - Daniel's Last Day. Daniel died today at 1:22 PM. Daniel's metabolic acidosis worsened during the night. He received two boluses of bicarb. His bradycardias had become less frequent. The 6:30 AM gas had a pH of 6.6 and a base excess of -20. A bicarb drip was started. Blood cultures were drawn and Abelcet (liposomal amphotericin) was started to cover for fungal infection although there were very few indicators for an infection. Daniel's tension pneumoth...

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