Hi all! I am new to level III NICU nursing so also new to taking care of micropreemies. Took care of an ex-25 weeker the other day (now 29 wks) on NCPAP. I have never seen such wildly fluctuating O2 sats as this child, and it makes it so difficult to titrate the FiO2. I mean this kid will to within 10 seconds to the 30s, 50s, 70s, 90s. I'm not exaggerating. My question is, how is this even possible? It just seems like it can't be correct, but it's all the information we have to work with. Of course we rely on gases to know the infant's status, but they are only done every 24 hrs.
Any knowledge or even opinions?
I feel like we see big fluctuations in sats more in kiddos with moderate/large PDAs, down to the 40s not uncommonly. Most of us don't adjust the FiO2 unless they really fall, or stay down (not going to go up for sats of 84 for 30 seconds, for example) or else you'll be dealing with having to titrate it right back down once they recover. Our babies below 32 weeks are allowed to sat 85-95 and we decrease FiO2 above 95. But I've only been a NICU nurse for a year, so maybe others have more suggestions. I love the micropreemies but I come home and hear the constant alarms for desats in my dreams....
Last edit by Luckyyou on Dec 12, '12