Unhappy 22 Weeker - page 2

undefined :rolleyes: This past week I got the assignment from you know where. A s/p 22 weeker on DOL # 210. NO LUNGS or GUT, little vision or hearings. Blood pressures out of the roof, meds (3... Read More

  1. by   prmenrs
    Fiesty--from the OP, this is a s/p 22 wkr, now a 'chronic'. You are correct, of course, but this baby is of an age now that s/he needs very calm, positive stimuli. In fact, they should not be held in the traditional supine position, but up against your body so that they do not have to make eye contact. The spot I have the baby in my avatar picture is very nice because they can hear your heart beat.
  2. by   Gompers
    Premies should have as little stimulation as possible, especially after a day of being poked with needles and tubes. The lights are dimmed in the NICU and people are instructed to speak quietly. It is important to create a womb like environment. A 22 weeker would not be picked-up and taken out of it's temperature controlled environment - they can't handle the stress. No music allowed and I would never think of putting a 22 weeker in a swing. This preemie is being way over stimulated, which could be the problem.
    The preemie this post is about is actually seven months old, according to the original poster. I'm sure we're all perfectly aware that a fresh 22 weeker shouldn't be picked up and stuck in a swing!

  3. by   dawngloves
    Rose, I had a chronic former 23 weeker today and I was ready to jump out the window.This kid has been with us so long he is now 40 weeks adjusted!
    He was miserable! Nothing made him happy. Holding, swinging, swaddling, pacifier, the MSO4 we've been weaning him off of for two months. ARRGGHHH!
    I can so sympathize with you.
    Plus he is so tight with CP he can't be comfortable. *sigh* Where is the quality of life for this little guy.
  4. by   dawngloves
    Quote from fiestynurse
    a 22 weeker in a swing.
    Trying to picture this.....
  5. by   nekhismom
    We have chronic kids on our unit that just won't stop crying. THey seem to be in lots of pain to me, but the nurses usually chart that the kid has no pain or a small amount of pain that requires no pharm. tx to help. Sad, and these kids are CRANKY!!!! Talk about making a shift miserable, a former 22 weeker that is now over 40 weeks that won't stop wailing. I say give the kid some tylenol. It just might help him some.
  6. by   canoehead
    He needs pain control...I'm not a NICU nurse, but lets give this poor Cp baby what it takes to make him comfortable.
  7. by   dawngloves
    You know what I hate? When I chart pain scores of 5 and other nurses put 0. Or a NAS of 9 and other nurses chart 3! How is that possible when you told me in report that the kid cried all night, vomited and has tremors???
    And the doc'll tell me, "Oh, that's just his temperment." !
  8. by   jnette
    Quote from nekhismom
    We have chronic kids on our unit that just won't stop crying. THey seem to be in lots of pain to me, but the nurses usually chart that the kid has no pain or a small amount of pain that requires no pharm. tx to help. Sad, and these kids are CRANKY!!!! Talk about making a shift miserable, a former 22 weeker that is now over 40 weeks that won't stop wailing. I say give the kid some tylenol. It just might help him some.
    wow... makes me think of sth. my Dad told me a long time ago. I had cried for weeks as a wee infant... non stop. Nothing found when they took me to the doc. Still kept on and kept on... at one point he was ready to toss me out the window ... it was so nerve wracking. Was finally admitted to the hospital... days went by... nothing... finally, FINALLY, they found I had two fractured legs !!!
    (severe ca+ deficiency, scurvy, etc...)

    About a year later, my dear sis refractured those little legs as they were sticking out between the crib slats.. grabbed hold of them and was playfully banging them together...
  9. by   Spidey's mom
    Quote from jnette
    wow... makes me think of sth. my Dad told me a long time ago. I had cried for weeks as a wee infant... non stop. Nothing found when they took me to the doc. Still kept on and kept on... at one point he was ready to toss me out the window ... it was so nerve wracking. Was finally admitted to the hospital... days went by... nothing... finally, FINALLY, they found I had two fractured legs !!!
    (severe ca+ deficiency, scurvy, etc...)

    About a year later, my dear sis refractured those little legs as they were sticking out between the crib slats.. grabbed hold of them and was playfully banging them together...
    Oh my gosh Jnette - ouch . . . . I'll bet you give her a hard time about that.

    steph
  10. by   jnette
    Quote from stevielynn
    Oh my gosh Jnette - ouch . . . . I'll bet you give her a hard time about that.

    steph
    :chuckle Yeh... especailly since a few years later when I was about four, she slammed the door on my hand and chopped off the top of my thumb !!! :angryfire ( Mom had baked some fresh cookies and called us in... Pati wanted to be there FIRST !!! )
  11. by   carriec
    I'm so sorry that you had a day like that..I can tell you I've had lots of days like that! It makes me very angry.Angry at the doctors for holding on too long..Angry at everyone to be quite truthfully..
    It seems like I see few miracles in these cases..And the families are expecting a miracle with their little one (who could blame them). The problem is that some of these families don't see what we have to put them through..
    We had a premie in our nicu that passed away on Thursday.She was born very premature and had very bad chronic lungs.She had never been off of the vent, just for trials..(she failed every one). She had several surgeries, and last Monday the doc's decided it was time for a trach. Well, 8 hours after her trach she was on a high frequency vent with a trach!! She was 7 months old when she died....
    That poor baby suffered for what?
    My heart goes out to you...I do feel your pain!!!
  12. by   nekhismom
    OMG, JNette!! YOu had it ROUGH!! YIKES!
  13. by   nekhismom
    Quote from dawngloves
    You know what I hate? When I chart pain scores of 5 and other nurses put 0. Or a NAS of 9 and other nurses chart 3! How is that possible when you told me in report that the kid cried all night, vomited and has tremors???
    And the doc'll tell me, "Oh, that's just his temperment." !
    Exactly!!! It's like, because I'm a new RN, I don't know how to look for pain. Hello??? I'm a MOM, and an RN. That makes me qualified to know that babies don't cry endlessly for hours and hours without SOMETHING being wrong. Even if it's just too much light, or a wrinkle in the sheet, or the way they are laying, it's something.

    We have one chronic kid that nobody likes to be assigned to. She stays up all night, and most of the day, too. Cries a lot. Has lots of vomiting after meals. She usually can't take all of her PO feeds. I held her one slow night and fed her, and kept her up and played with her for about 1 hour after her feed. Guess what? She smiled, played, and was calm. She did not vomit. And she did not fuss half as much for the rest of the night as she usually did. She just needed a little attention. Well, and she's so big now that she needs to go to the PICU, but that's another thread.

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