mtre23

What would be a safe amount and kind of formula for a premature infant between 33-36 weeks gestational age. Similac 20? Starting with 15ml to 24ml to 27ml q3?

Based on all my research Lavage is not considered a safe practice in a preterm infant. The x-ray revealed slightly prominent small bowel loops- ileus verse early obstruction. The Dr. was notified he gave no reason for choosing to not examine the infant further.

At age three days this infant had suffered Temperature Instability, Feeding Intolerance, Lethargy, Increased amounts of Gastric Residuals turning to bilious vomiting by noon. Lavage c NS, Ab x-ray, bili and guiac of green- brown fluid ,that had been removed from infants stomach, was ordered by Doctor. By 3:00 p.m. day three a total of 45cc thick green- brown fluid was retrieved, ISO temp had been reduced to compensate for rising temp. These symptoms were followed by bloody stools. The Doctor was notified but did not arrive at Nursery until approx 10:00 a.m. on day 4. Unfortunately the infant by this time was seriously ill. Transfer orders were issued and antibiotics started. The infant was diagnosed with Necrotizing Enterocolitis and as a result this infant ultimately suffered a intestinal perforation, requiring major emergency surgery and intraventricular hemorrhage associated with the complications of NEC. Comments???

Hi, I wanted to get some opinions. If a preterm (33 to 34wk) infant displayed increasing gastric residuals turning bilious, would you be seriously concerned? If yes, and you told the Dr. right away, what would you do if the Dr didnt do anything? Thanks