Age: 7 Days/ Male
Baby of Rachana was admitted, in view of preterm, Very Low Birth Weight, Respiratory Distress Syndrome. Baby was started on CPAP at admission. In view of respiratory distress and Chest xray findings which were suggestive of TDS, Baby was given one dose of surfactant at 8 hours of life. Baby was being maintained on CPAP, On day of life 5 baby was shifted to HFNC. Currently baby is on HFNC, requiring Fio2 of 25% and flow of 5 liters.
MATERNAL HISTORY: Mother has Gestational diabetes mellitus on insulin treatment, Hypothyroism, on thyroxine supplementation. H/o PPROM for 10 days.
In view of PPROM for 10 days , baby was started on IV Amikacin. In view of drop in leucocyte counts IV piptaz was added. Blood culture is sterile.
At admission baby was started on IV fluid . On DOL-2, minimal feeds started. Currently on half Feeds ( 7 ml feeds 2 hourly ) and half fluids.
Baby was on HFNC, IV Piptaz , IV Amikacin, inj. Caffeine, OG tube feeds and Partal parenteral nutrition.
Baby of Rachana is saved at a cost of 1,00,000/-.