Kinley had a quiet night last night, with no vomiting. Yea! Katie, Kinley's day nurse, is back today. Katie fed Kinley at 8:00 am and she took 41 ccs. The rest (49 ccs) of her 90 cc feed was given through Kinley's NG tube over 1 hour. Kinley had a small (5 - 10 cc) vomit after the NG portion of her feeding was finished and we had to change her outfit.
Dr. T is doing rounds on Kinley today. (Dr. P is off today. She can't work all of the time.) The change for today will be to compress Kinley's entire feeding, both bottle and NG, to run over a total of 1 hour. This will give Kinley close to 2 hours, between each feeding, where she is not receiving any food. Hopefully this will allow her to feel more hunger and eat more from her bottle feedings. Previously, Kinley's feedings had been running pretty close to each other so she was not always very hungry for her bottle. The maximum amount of time we are allowed to try and feed Kinley by bottle is half an hour. (This has always been the rule with bottle feeding, but I think I have forgotten to mention it in previous posts.) This will leave half an hour to NG feed anything Kinley does not take by bottle. Dr. T also mentions the possibility of dropping one feeding per day since Kinley is 2 and 1/2 months old, but will let Dr. P make that decision.
At Kinley's 11:00 am feeding she took 60 ccs from her bottle. Then she got her vitamins with iron and nystatin, for thrush. The remaining 30 ccs, of her total feed, were given through her NG over half an hour.
Kinley slept the entire time from finishing her 11:00 am bottle until it was time to feed her again at 2:00 pm. Her residual (food remaining in her stomach) before her 2:00 pm feeding was zero ccs. Way to go baby girl! She ended up eating 55 ccs by bottle and getting the rest through her NG.
Kinley's residual before her 5:00 pm feeding was a different story. She had 15 ccs of residual, but it did not seem to affect her much because she took 56 ccs from her bottle. Again, the remainder was given through her NG over half an hour.
At 8:00 pm, after shift change, Kinley took 49 ccs and then the rest by NG. A little while after the NG portion of Kinley's feeding was over we decided that it would be a good time for Kathy to practice putting an NG tube down Kinley. Kinley's current NG tube was not sticking to her face well and it was only a matter of time before she pulled it out herself. Kathy did awesome! She got it down Kinley and in place on the very first try. You wouldn't of known that from listening to Kinley scream, but she does that anytime anyone puts a tube up her nose. I can only hope my first attempt at placing an NG tube goes as smoothly, but I will save that for another day.
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