Mikaila had a rough day. Her hematocrit (red blood cells) number had crept down over the past few weeks and her attending decided it was time to transfuse her again. For Mikaila, the rough part was the insertion of the IV but, as always, she bounced back quickly and looked relatively comfortable when we left this evening. With the transfusion, Mikaila was given a course of diuretic to eliminate any resulting excess fluid. As a result, Mikaila may not gain weight when they weigh her this evening so be prepared. We have been through the transfusions before. Her growth has been tremendous. However, she isn’t capable at this point of producing blood on her own to keep pace. It stands to reason that at some point she may require an additional unit.
Other than that, Mikaila’s day was quite normal. Her vital signs were strong, oxygen saturation levels were good and she continues to fully absorb her feeds. In fact her feeds were bumped up to 30 mls every three hours.
I’ll be posting this on the early side today. If we get her weight at either 8 or 11I will update this post with her new weight.
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