5/22/92 (Day 188) — Preemies at Home, day 56
Home nursing notes
12 midnight took 30 ccs formula PO and retained. Woke crying at 2:00 a.m. Took 40 ccs formula and retained. Fell asleep after diaper change and returned to crib. No apnea or bradycardia. Took 35 ccs at 4:00 a.m. Fussy, but calmed when being held. Took 25 ccs PO at 6:00 a.m.; returned to crib asleep. Monitor on and alarms set. Nasal cannula in place. Mylicon given at 7:00 a.m. for fussiness. Irritable and awake at 8:00 a.m. Awake at 10:00 a.m. No change in resp or cardiac status. Asleep in infant seat at noon. Took 15 ccs at 12:40 p.m. Increasingly irritable; fed rest of bottle at 1:20, which he took eagerly and burped. Quiet and calm when done. Put in crib to sleep at 2:00 as he was drowsy, but he would startle when he heard a noise. Awake and ready to eat at 4:10. Began eating eagerly, but soon slowed. Had two good burps and took all 60 ccs in about 35 minutes without incident. Content with feeding. Put in infant seat at 5:00.
Asleep in playpen in living room, woke briefly at midnight for diaper change. Attempted PO feeding, but she refused to suck. Took 25 ccs PO at 2:00 a.m.; refused more. Diaper changed and awake for an hour. Took 35 ccs at 4:00 a.m.; refused more. Mylicon given at 6:00 a.m. for restlessness while passing flatus and stool. Took 40 ccs formula and returned to crib on abdomen with monitor on and nasal cannula in place. Quiet and awake at 10:00 a.m. Fussy at noon, calms when bounced on knee. Put in swing for a few minutes and fell asleep. Awake at 1:30 at sound of doorbell. Fed 50 ccs Similac 24 cal eagerly. Fell asleep in nurse’s arms after feeding and diaper change. Squirming and crying out in sleep at 3:00, comforted when back and bottom patted. Fussy and awake at 4:00. Mom home, so she fed Molly, who took her formula eagerly, all 60 ccs, occasionally coughing and gagging without color change. Fussy still at 5:00; mom warming another bottle.