5/23/92 (Day 189) — Preemies at Home, day 57
Home nursing notes
Ike woke crying at 2:00 a.m. After diaper change, bottle offered and he took 15 ccs and fell asleep. Awake and crying at 4:00 a.m. Too 30 ccs formula and fell asleep. Would not take more even with stimulation; he just became fussy. Woke at 6:30 and to0k 65 ccs formula. Changed at 7:00, but he continued to cry, so offered another bottle and he took 10 additional ccs PO. Awake and alert at 8:00 a.m. Nippled 60 ccs when fed by mom at 10:00. Awake at 11:15, nippled 60 ccs; placed in crib at 11:45. Awake and crying at noon; held and rocked and took additional 25 ccs; continues to be awake and very alert, propped on couch looking at brightly colored toys. Worked on PT/OT exercises; became fussy at 12:40 and nippled 20 ccs. Placed in swing, crying occasionally; asleep at 1:30 in swing, where he slept soundly.
Awake and fussy at 1:00 a.m. Took 20 ccs formula then fell asleep after diaper change. Awake and crying at 3:00 a.m. Took 30 ccs formula and fell asleep. Awake and crying at 4:30 Took 30 ccs formula PO, passing flatus. Awake and crying at 6:30; offered bottle and Molly took 60 ccs formula and burped well. Continued to be fussy, so gave Mylicon. Awake and alert at 8:00 a.m.. Nippled 60 ccs over 30 minutes. Continued to be awake and fussy. Nippled an additional 60 ccs at 10:00 after diaper change, placed in swing asleep. Awake and crying at noon. Nippled 10 ccs, pushing bottle away. Wrapped in blanket and placed in crib on abdomen, patting back until fell asleep. Awake at 1:15. Has upper airway congestion and occasional coughing, especially during feedings. Nippled 115 ccs (!) over 45 minutes. Placed in crib at 2:30 sleeping, but occasionally waking for very brief periods and fussing.