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) Enfamil Gentlease (20 cal): 20ml po q 3hr Nipple as tolerated

Total Projected Enteral:160 mls79 ml/kg/day53 cal/kg/day

Output:

DIAGNOSES 1. Newborn (suspected to be) affected by other maternal conditions (P00.89) Onset: 2/15/2020 Resolved: 2/15/2020 Comments: Eye prophylaxis given at birth.

2. Newborn affected by maternal use of opiates (P04.14) Onset: 2/15/2020 Comments:

Mother in treatment program on Subutex 8 mg BID. History of drug screen positive for cocaine, opiates, amphetamines and marijuana in December. Mother and infant urine drug screen positive only for opiates on admission. Meconium pending. Consulted at 41 hours of age for scores of 15 then 12 in MBU. Upon exam infant with mild tremors when disturbed, hyperactive moro, nasal stuffiness, irritability. However infant easily consolable. Plans: Begin NAS Protocol with Morphine Sulfate administration if Modified Finnegan scores meet criteria (3 consecutive scores average >= 8 or 2 consecutive scores >=12)

3. Hemorrhagic disease of newborn (P53) Onset: 2/15/2020 Resolved: 2/15/2020 Comments: Vitamin K prophylaxis given at birth. 4. Neonatal jaundice, unspecified (P59.9) Onset: 2/15/2020 Comments: Newborn screening 3.9 at 36 hours. Plans: follow clinically

5. Other specified disturbances of temperature regulation of newborn (P81.8) Onset: 2/15/2020 Comments: Admitted to crib. Plans: follow temperature in an open crib

6. Nutritional Support () Onset: 2/15/2020 Generated on 7/19/22 2:38 PM

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