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)

Discharge Summary Note (continued) Infant transferred to NICU for further evaluation, met criteria to begin morphine 2/16. Meconium positive for marijuana, opiates, buprenorphine, and benzodiazepines. Plans: follow with social services and OCS as appropriate 4. Nutritional Support () Onset: 2/15/2020 Medications: Poly-Vi-Sol with Iron 1 mL Oral q 24h (750 unit-400 unit-10 mg/mL drops(Oral)) (Until Discontinued) Weight: 2.105 kg started on 2/21/2020 Comments: Feeding choice: Formula only. Gentlease. Infant surpassed birth weight by 6th day of life. Growth velocity of 11 g/kg/d for the previous week ending 3/2. Plans: enteral feeds with advancement as tolerated follow growth velocities

5. Neonatal withdrawal symptoms from maternal use of drugs of addiction (P96.1) Onset: 2/16/2020

Comments: Scores of 6-10, morphine begun 2/16 at 0930. Advanced to dose 2. Weaned 2/18 to dose 1. 2/20 pm scores increased and increased to dose 2. Morphine stopped 2/24, resumed 2/25 pm due to score of 13. Scores 4-6 for 24 hours ending 3/2 on lowest dose of MS, morphine discontinued 3/2. Scores of 4-7 in the 24 hours ending 3/4 off morphine.

6. Contact with and (suspected) exposure to viral hepatitis (Z20.5) Onset: 2/18/2020

Comments: Mother with Hepatitis C. Plans: outpatient labs on infant as appropriate

CARE PLANS (ACTIVE) 1. Parental Interaction Onset: 2/15/2020 Comments: 2/21/20 Parents in rehab facility. Grandmother Jessica Cason (329-5304) given physical custody of infant 2/21/20. Left voicemail for grandmother that infant is being discharged. Plans: - continue family updates

2. Discharge Plans Onset: 2/15/2020 Comments: The infant will be ready for discharge when adequate nutrition and thermoregulation has been established.

IMMUNIZATIONS: Generated on 7/19/22 2:38 PM

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