Here is some news I forgot to post yesterday. Kinley's compression feeds were reduced from 92 ccs over 1 and 1/2 hours to 85 ccs over the same 1 and 1/2. This is because her bottle/breast feeding sessions were increased from 3 to 6 times a day.
This morning Kinley decided that she didn't like her multi-vitamin with iron supplement again. This time she threw up all over Katie, her nurse. Katie was holding Kinley and getting ready to give her her morning bottle when it happened. Surprisingly to me, Kinley took her whole 10 cc bottle after she was done vomiting.
One less drug! The big news during rounds today is that they are stopping her ativan doses completely. All of her other medications (methadone, erythromycin and Prilosec) will remain unchanged today. More good news, Kinley's bottle feedings will be increased from 10 ccs to 15 ccs. They will also begin fortifying Kinley's milk with Enfamil to increase the number of calories per ounce. Breast milk by itself has 20 calories per ounce, but the fortified milk will pump it up to 22 calories per ounce. The reason for this adjustment is to give Kinley extra calories for healing and growing. A typical healthy baby will use most of its calories for growing, but Kinley (due to her repair surgery and being on ECMO) has to use a portion of those calories to help heal her body. The last change during rounds today is based on her vomiting session early today. Starting tomorrow they will divide Kinley's multi-vitamin with iron supplement in half and give it to her twice a day. Hopefully the smaller doses won't upset her stomach as much as the full dose.
Overall, today was pretty quiet so I will fill the remainder of today's blog post with pictures of Kinley, her outfit and the some fun faces she makes.