• bicycling/swimming movement =
abnormal, possible seizure
- give emergency phenobarbital
20 mg/kg if lasting >5 min
• continue CPAP ~34 weeks to
support lungs, no set rule, like
intuitive
- surfactant produced here
• higher potassium more normal
for babies - treat at ~7
• CAH common reason for hyperkalemia, hyponatremia
• ? can ------- stay one more
week ? ----- mom
• it’s okay for not much pee first
day of life… 2cc? check that?
• ? why do we prescribe caffeine?
- to help with apnea of prematurity!
- see: CAP trial
• I saw an avastin (bevacizumab)
injection bilaterally on baby
------ who has ----ish first name,
-----an middle name, ------ese last
name, mom was nervous but kind
and I told her we will come
by with more info for her this PM
- other med student very gunnery
didn’t let me hold the light or
really anything just overall being
a bitch
- baby squirmed, face squished in
nurse’s hands, sooo tiny. ROP
• "we can be optimistic, that always
helps…" casual little wisdom pearl
thank you nurse ---- + ------
• something I noticed, question
for the culture… where are
all the white babies? I guess
actually this high maintenance
one right now is the first seemingly
white person on this
whole unit… should we have THAT
conversation? I think we should .
that might even be THE
conversation of this whole rotation
… or at least this week.
• so funny how the white woman
syndrome is strong with this one like
so incredibly high maintenance taking
up so much of the airspace like girl
did u know ur talking to doctors ??
• it’s just interesting how the yt
patients, few + far btwn as they
are… are like… more than make
up for their rarity in the time spent
at bedside. could be a fun experiment:
how much longer does team spend
at white baby bedsides? prob
longer cuz this bitch is so entitled
like did you know there are other
babies here u fucker? like hello