text: Pulmonary  On admission the infant required CPAP 6 cm of water   30 oxygen . Initial capillary blood gas was pH 7.29   CO2 47 . Infant was intubated on day of life two for increased respiratory distress', 'and received one dose of surfactant . Infant was extubated on day of life four to CPAP and transitioned to room air on day of life six . The infant has remained in room air throughout the hospitalization .', 'Caffeine citrate was started on day of life six and was discontinued on 05-23  day of life 18 . The last apnea and bradycardia was on 06-10 . 2. Cardiovascular  The infant has remained hemodynamically', 'stable throughout this hospitalization   no murmur . Heart rate 150 to 160   mean blood pressure 40 to 54 . 3.', 'Fluid   electrolytes and nutrition Infant was initially nothing by mouth receiving 80 cc per kilogram per day of D10W intravenously .', 'Infant was started on enteral feedings on day of life four and advanced to full volume feedings of 150 cc per kilogram per day by day of life seven .', 'During feeding advancement infant was given parenteral nutrition and intralipids . The infant tolerated feeding advancement without difficulty .', 'Infant was advanced to maximum caloric density of breast milk or premature Enfamil 26 calories per ounce with ProMod by day of life 11 .', 'Infant is currently on breast milk or Enfamil 24 calories per ounce po minimum 140 cc per kilogram per day . The most recent weight is 2525 g.', 'Head circumference 24.5 cm   length 45.5 cm . The most recent electrolytes on day of life five were sodium 145   chloride 115   potassium 4   TCO2 of 21 .', 'On day of life 25   calcium 10.1   phosphorus 6.9   alkaline phosphatase 341 . 4. Gastrointestinal  Infant was started on double phototherapy on day of life two for a maximum bilirubin level of 8.1 with', 'a direct of 0.3 . Infant decreased to single phototherapy and phototherapy was discontinued on day of life six . Rebound bilirubin level on day of life seven was 5.3 with a direct of 0.3 . 5.', 'Hematology  The infant did not receive any blood transfusions this hospitalization . The most recent hematocrit on day of life two was 47 . CBC on admission white blood cell count 8.9   hematocrit 47', 'platelets 243 000   6 neutrophils   0 bands . Repeat CBC on day of life two showed a white blood cell count of 8.4   platelets 95   41 neutrophils   0 bands . Repeat platelet count on day of life three', 'was 229 . 6. Infectious disease The infant received 48 hours of ampicillin and gentamicin for rule out sepsis . Blood cultures remained negative to date . Infant has not had any issues with sepsis this', 'hospitalization . 7. Neurology  Head ultrasound on day of life seven showed no intraventricular hemorrhage . A repeat head ultrasound on day of life 33 06-07 showed a slight increase of echogenicity', 'in the caudothalamic groove   which may represent tiny bilateral germinal matrix hemorrhages   no periventricular leukomalacia . A repeat head ultrasound is recommended in one month .', 'Normal neurological examination . Sensory   hearing screening was performed with automated auditory brain stem responses . Infant passed both ears . Ophthalmology', 'eyes examined most recently on 05-30 revealing immaturity of the retinal vessels   but no ROP as of yet . A follow up examination should be scheduled for the week of 06-20 .', 'Ophthalmologist is Dr. Cruea Franklin . 8. Psycho    social Parents involved . Triplet number one is still in the Neonatal Intensive Care Unit and triplet number three is home with family', 'and there is also a 2 year-old sibling .', 'CONDITION ON DISCHARGE', 'Stable on room air .