snowdeal logo

archives archives

ex machina

the eric update - day 65: decreased nasal cannula flow. big feed strategies.

today was yet another day tiny little steps of progress. first, eric had the rate of nasal cannula air flow turned down from 2 to 1.5 liters per minute. you might recall that the last time they turned down his flow, he started alarming often that the nicu staff thought he might have an infection. it's amazing to see how differently he responded after only ten days. it's even more amazing when you think about how much lower his hemoglobin levels compared to then ( he's still due for another transfusion ), which means his oxygen carrying capacity should be lower, but his stronger lungs can more than make up the difference.

the fortifier seems to be working, as he put on another ounce and weighed in at 3 pounds 12 ounces or 1700 grams.

eric completed the transition to three hour feeds appears to be tolerating the increase in feeding volume wonderfully. his first "3 hour" bottle feed was an enormous 36 cc meal and the nurses didn't really expect him to take the whole thing down before getting too tired. but they were pleasantly surprised to be proven wrong. he drank the entire bottle in about 22 minutes!

you'll notice that we're very aware of exactly how long it takes eric to eat. that's because we have exactly 30 minutes to get him to take his food via a bottle. if he doesn't get everything down in that time, then he's "gavaged" ( the term for tube feeding ). the strict timing is due to the fact that you want him to have the most amount of time to fully digest his food before the next feeding; and the staff begin to get concerned about how many calories he's burning while bottle feeding after a half an hour. it's strange to think that the extra calories burned from being out of the isolette can make a big difference.

so there's a bit of strategy involved to get him to take all the food in the proper amount of time. one tactic is to switch his bottle nipple during his feeding to make it more or less difficult to get the milk. you can differentiate the nipple by the color of the plastic ring surrounding the nipple. a white ring indicates the most difficult and a red ring is the easiest, while peach is a medium difficulty nipple. we found that we had to use all three nipples during his feeding to make it easier for him to get milk as he got increasingly tired. why not just start with the "red" nipple? because if he's not tired, he'll get too much milk at once and gag.

who knew that feeding could be so complicated? that said, he's doing fantastic and word spread quickly through the nicu that he was able to take his first "3 hour feed" bottle in the proper amount of time.

bookmark: ::digg it ::furl ::reddit ::yahoo ::
9/07/2004 11:33:00 PM 1 comments


It has been 15 long days since I was last able to see/read the Eric updates (we recently moved back to Atlanta) I have been so excited and nervous to get back online and hear about what has been going on with him. I am THRILLED and so happy for you that he is doing so well. He has gotten so big. I think he is looking more like Kris!

By Anonymous Anonymous, at 3:45 PM  

Post a Comment

[ rhetoric ]

"it is hard to be brave," said piglet, sniffing slightly, "when you're only a Very Small Animal." rabbit, who had begun to write very busily, looked up and said: "it is because you are a very small animal that you will be Useful in the adventure before us."

the complete tales & poems of winnie the pooh

[ about ]

this site chronicles the continuing adventures of my son, odin, who was unexpectedly born on the fourth of july at 25 weeks gestation, weighing 1 pound 7 ounces.

he's quite a fighter and you can always send him a postcard to the most current address listed here if you're inspired by his adventures. see the postcard project/google maps mashup to see a map of the postcards.

if you're new, you can browse the archives to catch up. and don't forget to watch a few movies that i made while we were in the neonatal intensive care unit. or if you want the abridged version and you can find a copy, you can read about his adventures in the november 2005 issue of parents magazine.

[ search ]

[ outbound ]

daddytypes / blogging baby /

rebeldad / thingamababy / The Continuing Adventures of Super-Preemie / dooce /

[ schwag ]

look snazzy and support the site at the same time by buying some snowdeal schwag!

[ et cetera ]

valid xhtml 1.0?

This site designed by
Eric C. Snowdeal III .
© 2000-2005