Family and Friends,
Exciting activity for the twins today as they each were taken off of the CPAP this afternoon, and switched to nasal cannulas! The doctors let us know on their rounds this morning that they would give it another go, to see if they could stay on them for longer. Keep in mind, as we were educated before, if they need to go back on the CPAP, its perfectly normal, you have to build up their stamina to breathe on their own unassisted, and this is the best way to do it. They will struggle a little bit, but they will get it down. Even better news, after the twins were switched to the cannula's, Sheri got to hold both of them together! A tremendous first and exciting day for her! The twins got to interact with each other for the first time since being out of the womb, and if you go to the full album (which you can get to by clicking on "view" as the slide show is running, or "view complete album" after the slide show finishes, you can see these great pictures! Jordan is depicted in a few pictures, actually moving a little closer to Jacob on Sheri's chest, or reaching out to touch his arm! Magnificent!
Also, one of our primary's, Jennifer, who is also following our blog now, has given me some more education on the description of how the CPAP's oxygen levels are described. Specifically, 21%, aka Room Air, I previously explained is what you and I breathe normally. Anything above 21% (for example, 22%, 23%, etc. which I have indicated in past posts that they sometimes do (again, perfectly normal) is not referred to as "Room Air", instead it is called officially "FI02" which applies to any source of oxygen whether it be a ventilator, CPAP, or even nasal cannula. This is another example of a superb support team we have at the hospital so far; not only do our primary's look after our kids with a genuine heart, they also take the time to explain in detail and make sure we understand everything that is going on as they develop and grow. Awesome and much appreciated!
The detailed report is as follows:
Jacob was on 5% CPAP and 21% Room Air, had 3 dirty diapers, 3 wet diapers, weighing 2 lbs. 3 oz. during the day and 2 lbs. 2 oz at night (he lost a little bit when he went to the nasal cannula, which is normal), taking 20 CC's of milk, and got his daily dose of 5 mg of caffeine for heart development. During the night, he had 2 brady episodes (again, normal seeing he just switched to the nasal cannula, so his body has to adjust), at a FI02 rate of 30%, still taking 20 CC's of milk, and had 2 wet and 2 dirty diapers.
Jordan was on 5% CPAP and 21% Room Air, had 2 dirty diapers, 3 wet diapers, weighing 2 lbs. 10 oz. during the day and 2 lbs. 9 oz at night (she also lost a little in oz. due to the switch from CPAP to nasal cannula), had a blood transfusion today (nothing to be alarmed about, just to help her progress better), was getting 24 CC's for the whole day, and got her daily dose of 6.8 mg caffeine. During the night, she had 1 brady episode (switch from CPAP to nasal cannula), still at 24 CC's, had 1 wet diaper, and was at a FIO2 rate of 25%.
Check back soon for more!
Kind regards,
The Cordova Family (Andy, Sheri, Jacob & Jordan)
cell - 281-300-6212
email - maverick2601@hotmail.com
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