Course in the Ward July 16, 2011 July 17, 2011 With O2 inhalation via NC at 2-3 LPM NPO

LPM NPO temporarily Labs: ABG with request Blood c/s- RFFN every 24 hrs. Rounds by dr. Carlos with orders made and carried out For urine fungal element For KOH test of hypo pigmented area in skin July 18, 2011 July 19 Feeding with SAP 1 oz every 3hrs then inc. 1 oz every 3 days To continue IVF with 18-19 cc/hr Given paracetamol via IV Rounds by dr. Syngal with orders made and carried out With O2 inhalation via NC at 1-2 LPM NPO temporarily On nebulization with salbutamol every 4 hrs alternate with combivent every 6 hrs. Suction secretion PRN May resumed feeding with SAP On feeding 1 oz every 3hrs then inc. 1 oz every 3 days Meds: Salbutamol neb q2 Combivent neb q6 Lab: CXR APC- done CBC with PC- RFFN Suction secretion PRN With O2 inhalation via NC at 2-3 LPM NPO temporarily HGT every 12 hrs. Standby ET size 4 and 4.5

July 21 Rounds by dr. Castillo with orders made and carried out For 450 kg/cal/day into 3 meals, excluding milk formula Feeding with SAP 1 oz every 3hrs then inc. 1 oz every 3 days

July 22 July 23 O2 support discontinued On incremental feeding 7-26 -530 kcal 7-29 -610 kcal 8-02 -670 kcal 8-05 -770 kcal 8-08 -800 kcal Latest wt. 4 kg. Rounds by dr. Garcia with orders made and carried out For PPD

July 26 July 27 July 28 July 29 July 30 O2 administered at 2-3 LPM via NC Fluconazole 60 mg TIV OGT inserted Feeding 4oz every 3 hrs For repeat CXR- APL Salbutamol neb every 8hrs O2 administered at 2-3 LPM via NC OGT inserted Feeding 4oz every 3 hrs May have small feeding per orem O2 administered at 2-3 LPM via NC OGT inserted Feeding 4oz every 3 hrs O2 administered at 2-3 LPM via NC OGT inserted Feeding 4oz every 3 hrs OGT inserted Feeding 4oz every 3 hrs IVF shifted to heplock

July 31 August 1 August 2 August 3 August 4 August 5 With O2 inhalation via NC at 1-2 LPM To resume feeding with caloric intake 450 kcal/day OGT open to drain Daily weighing Still NPO NPO temporarily O2 administered at 2-3 LPM via NC Transferred to gastro safely O2 administered at 2-3 LPM via NC Salbutamol every 6hrs alternate with combivent every 6hrs. O2 administered at 2-3 LPM via NC OGT inserted Feeding 4oz every 3 hrs Salbutamol every 6hrs alternate with combivent every 6hrs. O2 administered at 2-3 LPM via NC OGT inserted Feeding 4oz every 3 hrs