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I think she's talking about when a babies feeding is advancing, and the RN is trying wean the IV fluids.
Again, I would request an order, but if you know how much fluids/kg the docs want that day, you can calculate it.
Example: they want 100cc/k/d, the kiddo weighs 1500gms=150cc in 24hrs. IV rate=6.3cc (rounded off). If you're feeding q3h, that's 18.5q3h. The baby gets 4cc gavage fdg, 18.5minus 4 divided by 3=hourly rate. I came up w/ 4.9cc. When you increase the feeding, recalculate.
Thanks guys for your input. prmenrs you hit it right on the money. When the docs would write the order it would say increase feeding to such and such and decrease iv with each successful feeding. Now it is this IV+PO it is pretty easy once you know the formula. Well thanks again. How is everyone doing? I notice it has been slow in the inland empire where I reside but you know how Nicu just when you think it is slowing down it picks up right away.