Blake Photo Time-Line

BRMH NEONATAL INTENSIVE CARE 17000 Medical Center Dr Baton Rouge LA 70816

Grondin, Blake John MRN: 12051461, DOB: 2/14/2020, Sex: M Acct #: 72010142213 Adm: 2/14/2020 02/14/2020 - Admission (Discharged) in O'Neal - NICU (continued)

H&P Notes (continued) RPR

Non-reactive

02/13/2020 06:30 PM

Hepatitis B Surface Antigen: Lab Results Component

Value

Date/Time

HEPBSAG HEPBSAG

Negative Negative

02/13/2020 06:30 PM 02/13/2020 06:30 PM

Rubella Immune Status: Lab Results Component

Value

Date/Time

RUBELLAIMMUN

Reactive

10/23/2019 02:02 PM

Pregnancy/Delivery Course: The pregnancy was complicated by Hep C, bipolar, Unknown GBBS and polysubstance drug use. UDS during pregnancy: + cocaine, amphetamines, opioids,THC. Most recent drug screen +opioids. Currently on Subutex. Prenatal ultrasound revealed normal anatomy. Prenatal care was late. Mother received Penicillin G x 2 doses. Membranes ruptured on 2/13/2020 at 1700 by SROM. The delivery was complicated by thick meconium. NICU attended infant required deep suction and BBO2. Apgar scores Newborn Assessment: 1 Minute:

Skin color: Muscle tone: Heart rate:

Breathing: Grimace:

Total: 7

5 Minute:

Skin color: Muscle tone:

Heart rate: Breathing: Grimace: Total: 8

10 Minute:

Skin color: Muscle tone:

Heart rate: Breathing: Grimace: Total:

Living Status:

.

Review of Systems Constitutional: Negative for decreased responsiveness, fever and irritability. HENT: Negative for congestion, rhinorrhea and trouble swallowing. Eyes: Negative for discharge and redness. Respiratory: Negative for apnea, cough, choking, wheezing and stridor. Cardiovascular: Negative for cyanosis. Gastrointestinal: Negative for abdominal distention, blood in stool, diarrhea and vomiting. Genitourinary: Negative for decreased urine volume and scrotal swelling.

Musculoskeletal: Negative for extremity weakness. Skin: Negative for color change, pallor and rash. Neurological: Negative for seizures and facial asymmetry.

Generated on 7/19/22 2:38 PM

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