Crew Wesley Miller: More SVT

Crew had another episode of SVT at 3 a.m. this morning. The nurse was able to do some deep suctioning, causing a vagal response (drop in heart rate), which converted him into a normal rhythm. Then somewhere around 9:30 a.m. he did it again. This time the suctioning didn't work, neither did the ice-to-the-face trick, so they had to use Adenosine again . . . which worked well. So, the cardiologist was called again and the decision was made to add the drug Digoxin to his medication regime. As of 9:30 p.m. he hasn't had any more episodes . . . did I say that out loud?

He is still having some issues digesting, or at least emptying his stomach. He's being fed about 10cc's of breast milk every 3 hours and only digesting about half of that. He started to have some transitional stools today . . . a sign that at least some of the milk is getting through. He's also continuing to gain real weight. His current weight is 4 pounds 12 ounces.

He is still on the RAM cannula with his FiO2 requirements around 21 to 25%. His work of breathing has improved and he seems to be comfortable. The poor guy doesn't have much stamina. He is awake for his cares (diaper change and vitals) and then he's out again. He got another bath today, and was completely exhausted afterward. He is still as "smiley" as ever. He is especially happy when his mommy and daddy hold him.