5/18/92 (Day 184) — Preemies at Home, day 51
Home nursing notes:
Awake at 1:00 a.m. Circumcision site dressed with gauze and Neosporin ointment. Penis pink. Fer-in-sol given at this time. Awake crying at 2:00 a.m. Took 40 ccs, burped and returned to crib still crying. Tylenol given as ordered, repositioned and rocked awake until 3:00 a.m. Awake and crying at 4:00 a.m., comforted by holding in arms; passing flatus. Took 30 ccs of formula at 4:30. Mylicon given at 5:00 a.m., still awake in crib sucking on pacifier. Took 20 ccs at 7:15 a.m. Awake and fussy at 8:00 .a.m. Took 40 ccs in 15 minutes. Penis pink and slightly swollen; Neosporin and sterile gauze applied. Ike continued to be irritable; gave Tylenol at 8:40. Bundled an placed in crib with pacifier. Awake and crying at 10:30; nippled 40 ccs, burped well. Nippled 20 ccs at 11:00 a.m. then fell asleep, sats 98%. Awake and crying at 1:00 p.m., circumcision care done per instructions. Nippled 40 ccs and fell asleep during feeding. Awake and demanding at 3:00 p.m. Diaper changed and Neosporin applied. Nippled 40 ccs with much encouragement. Continued to be fussy. Tylenol given.
Asleep but restless at 8:00 a.m. Comforted with pacifier. Awake and fussy at 10:00 a.m. Nippled 80 ccs in 30 minutes. Respiratory effort with moderate subcostal retractions when upset, mild when quiet. Sats 95%. Awake and crying at noon. Bath and shampoo given. Nippled 60ccs well. Back to sleep prone in crib. Awake and crying at 2:00 p.m. Nippled 60 ccs over 30 minutes. Awake and fussy at 3:30; nippled 45 ccs then fell asleep and returned to crib.