We don't keep real sick kiddos at my hosptial, most get shipped. We just had a set of discorndinant (?sp) twins, twin A 6+ lbs, Twin B 3+ lbs. Anyway, doing good enuf for us to keep.
Twin B had a gray spell on us - had just had a bili drawn and was about to put her back in the isolette and looked like ****. MD wanted IV, cxr, labs, etc.. including a cath UA while she was on her way in. Our cath kit was too big for her little urethra and we ended up using an 8fr feeding tube (and a the head gear from ER with the magnafier and light they use to check for corneal abraions).
Question: What else can be used for a cath UA when they are soooo tiny? Any other suggestions?
BTW, got the IV in first try - not bad for one of those lucky L&D nurses that only have to put IVs in healthy in young women.
