Published
sounds more IMMATURE than his/her dates would indicate.
I would definitely report my observations to the doc, along w/the slightly poor eating issue. Try not to let them d/c this one too fast.
Also try to advocate for a CRgram (or whatever your institution labels a 12 hour recording of the babies HR, RR, sat, and possibly nasal flow probe reading--they put a little thermister on the upper lip to see if air flow thru mouth/nose matches chest wall movement to determine if apnea is central vs obstructive).
Sometimes kids that old don't "meet criteria" for the CRgram, but in this case, I think it would be justified.
See my motto below:
If his normal resting HR is in the 90's or low 100's most of the time, I wouldn't think a brief dip into the 80's would be worrisome. I might be more concerned if his normal resting HR was more like 120 or 130. Then a dip to 80's is a 40+ drop. Am I understanding something wrong? We actually set our low HR limit at 80 for this age.
t2000JC
159 Posts
Hi,
general question--I was taking care of a 35 weeker whose heart rate would dip to the 80s briefly--I mean a second or two and then it would come right back up. It correlated with the pulse ox as well. Once it was 77. Other than that he is okay--he was admitted mainly because mom had prom. he isn't the greatest feeder but he eats. Is that dip normal--his pulse ox would stay steady at 99%. I read that 40% of pretermers have these dips, and as long as they don't last greater than 15 seconds they are benign and don't require treatment. I see self limiting bradys with a 25 weeker but a 35 weeker? Thoughts? I wasn't too concerned b/c he was doing well and the rns that endorsed him to me didn't mention it. But, now as usual I am racked with guilt the more I think about it; if his fdg improved he would have been d/c'd by now. please respond --thanks! t.