I wanted to explain a little bit about the machines in the NICU, so everyone can kind of get a feel of what we see. If I were in your place and I heard you talking about desats and I saw all those wires hooked up to Kayleigh, I wouldn't know what you were talking about. So I decided to take a few photos of the machines that are hooked up to Kayleigh and educate you all a little so you understand what we are talking about.
In the first photo, you will see Kayleigh's monitor. The top green line is her heart rate and she usually varies from 115 - 180bpm, but her average is around 145bpm. Kayleigh has a shiny gold heart sticker on her chest that monitors her heart rate. The blue line is her oxygen saturation. This is not supposed to be higher than 98 or lower than 85. If the machine starts to chime, you will notice she is satting too high or too low. If it is too high, then the nurse will turn down the amount of oxygen she is getting. If it is chiming too low, that means she is having a desat. This is caused by not getting enough oxygen, either by not breathing or the nose plugs have come out. There is a strap with a bright red light that is attached to Kayleigh's foot that monitors her saturation. We call it her E.T. foot. If you look back to some other photos, you will see what I am talking about. The bottom yellow line is her respiratory status which monitors her breathing. There is a sensor on her tummy that measures movement. If this line is flat, that means she is not breathing and then you will notice her oxygen saturation (blue line) start to drop and if that drops too, her heart rate will follow causing an all our DESAT!!! As you can see, her heart rate looks good, her oxygen is good and she is breathing. That is how we want it to be always :)
This is a photo of the amount of oxygen she is getting. If she is satting too high, they will turn this knob down and if she is satting low, they will turn it up. Right now, she is doing AWESOME and is right around 24% oxygen. The lowest setting (21%) is room air, like what you and I breath.
This photo right here is the bubble of the bubble CPAP. I can't begin to tell you how it completely works, but I do know that it really does have a bubble. ha-ha Actually, I was told that the bubble helps keep the sacs in the lungs from closing, so we don't have respiratory failure. It is really tough to inflate a lung after it deflates, so we want to refrain from that happening.
Kayleigh has a tube that runs through her mouth all the way to her belly to give her Mommy's milk which by the way is coming in great. Aimee filled up one of her little containers and half of another in one sitting, which will feed Kayleigh a full day if she was getting her maximum amount of feeds. Way to go Mommy!!! Kayleigh also has a couple IV's where she will get her medicine, like the Dopamine photo above. Those machines are cool because they are set to give her the medicine over a period of time, so the nurses don't have to sit there and squeeze the syringe themselves. She also gets her nutrients in another IV (Tripple Mix) which I joke by saying that Kayleigh is "Brown Bagg'n It". Beyond the healthy milk from Mommy, they make sure she is getting a lot of proteins, fats and carbs with the extra nutrients.
Well that is it for the lesson today. Kayleigh is having another great day. The test results came back and the urinary track infection was the reason she was having a rough day the other day, but the infection is no longer. The medicine they gave her cleared it up and she is doing great. They increased her feeds to 6ml today and will increase it tomorrow if she continues to do well. I am ready for her to get to 12ml and have no issues, so she can grow! She didn't gain any weight from last night, so she is still at 747 grams. She did have a couple desats, but the nurse explained they only dropped in to the 70's (Which for Kayleigh ISN'T a true desat). I didn't take any photos of Kayleigh tonight because with that Bubble CPAP on, she doesn't look any different from all the other photos with it on. So the only thing different you would see are her sheets. But if you really want me to take photos of her sheets, then I will :)
If you all have any questions about anything or if you want to just email us personally (If you'd just rather not post), please email me at Adam@TeamFreemanProperties.com. I hope you all have a blessed day tomorrow and keep praying for Kayleigh to grow :)
The Freemans :)