Wednesday, July 18, 2007

More and more blood tests!

Jac has been having been having a lot of blood tests lately. He has only about 65 ml of blood in his whole body, and each blood draw takes several ml's of blood -- a significant percentage of his total blood. These tests have been depleting his blood faster than he could replenish it on his own, so he had to have another RBC transfusion yesterday.

Part of the reason for the many repeated blood tests is that his calcium and phosphorous levels are out of whack. Too much calcium and not enough phosphorous. They have been giving him electrolytes to help him balance this. They will know in a few days whether the problems resolves on its own, or if further investigation is needed. The current thinking is that the placental insufficiency had thrown Jac's metabolism out of kilter, and that he just needs enough time to adjust to the new levels of available nutrients.

Another bit of bad news is that he has not tolerated food in his stomach yet. They will retry in a few days after giving his stomach an opportunity to develop a little more. In the meanwhile, they will adjust his dextrose and TPN ("parental nutrition") levels based on his blood readings.

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