Today, during rounds, it was decided to increase Kinley's bottle feeds from 25 ccs to 30 ccs. 30 ccs is the equivalent to one ounce. The remaining 60 ccs of Kinley's 90 cc feeding will continue to be delivered through her NG tube over 1 and 1/2 hours. This is the only change made to Kinley's care today. Her methadone, Prilosec, erythromycin, sodium chloride and vitamin with iron will all remain the same.
For the most part, Kinley is continuing to do a good job of keeping her food down. She has only thrown up one time since yesterday. It happened around 5:00 am and it was only about 10 ccs.
Between the two of us, Kathy is the first to attempt the 30 cc bottle feed with Kinley, at her 11:00 am feeding. We were not sure what to expect since Kinley had only had this amount one time before (by accident) and threw most of it back up. This time was different though, mom was there. Kinley ate all 30 ccs without any problems and she kept it down. The fact that she kept everything down is worth mentioning because this was the same feeding where Kinley received one of her vitamin with iron doses.
Kinley's 2:00 pm feeding did not go quite as smoothly as her 11:00 am feeding. Don't worry. There was no vomiting. Kinley was just tired. She took 20 of the 30 ccs from her bottle and simply wouldn't eat anymore because she kept falling asleep.
By 5:00 pm Kinley was feeling more like herself. She ate all 30 ccs and immediately took a nap. I took advantage of Kinley's nap time to read her some more Harry Potter.
After shift change, we returned to give Kinley her 8:00 pm feeding. She was a little fussy during her bottle and she did have one coughing session, but she was able to finish her bottle without having any come back up. We hope that Kinley can continue her non-vomiting streak through the night and into tomorrow. (Knock on wood.)