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)

Benzodiazepines Negative Methadone metabolites Negative Cocaine (Metab.) Negative Opiate Scrn, Ur

Presumptive Positive

Barbiturate Screen, Ur

Negative

Amphetamine Screen, Ur

Negative

THC

Negative Negative

Phencyclidine

Creatinine, Random Ur

30.0

23.0 - 375.0 mg/dL

Toxicology Information

SEE COMMENT

Assessment and Plan:

Admission Diagnoses : Active Hospital Problems Diagnosis

POA Yes

• *Single liveborn infant delivered vaginally [Z38.00]

AGA male infant , Ballard at 37 weeks. Will need car seat test.

• Newborn affected by maternal use of other drugs of addiction [P04.49]

Yes

Polysubstance drug exposure during pregnancy. Infant UDS + for opioids. Buprenorphine screen and meconium screen pending. Infant at high risk for withdrawal and this was explained to mom as well as the need for observation for a minimum of 72 hrs. Mother verbalized understanding. Mom may breast feed infant. Plans: NAS every 3 hrs, SS consult.

• Mother's group B Streptococcus colonization status unknown [P00.2]

Not Applicable

S/P adequate intrapartum prophylaxis.

Resolved Hospital Problems No resolved problems to display.

Myriam Ortiz-De Jesus, MD Pediatrics Ochsner Medical Center - BR

Electronically signed by Myriam Ortiz-de Jesus, MD at 2/14/2020 2:07 PM

02/15/2020

Generated on 7/19/22 2:38 PM

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