Kate has been doing very good. Although she was turned back up to higher settings this last weekend, she is now being tested again to see what she can tolerate. Her PIP(breaths per minute) has been turned back down to a 10 and her Peep was turned down to an 8 tonight. So far she has done good on it. The doctor is now talking about turning off the PIP(no forced breaths)to give her a trial run and see how well she can do. If she can hold her own then she is ready to be taken off the ventilator and moved to a c-pap.
A couple days ago, Kate's stomach became distended again. One of my wonderful primary nurses has been keeping tabs on Kate even though she hasn't been with her on her shifts much lately. She told me she felt like Kate seems to have the problems with tummy distention and runny stool every time her milk fortifier is increased. So the doctor talked with Kate's dietician and they decided to try her on Nutramigen as a fortifier because it's softer on her tummy. She receives about 1 tsp. of it with my milk per feeding. Yesterday and today she has tolerated it ok. This is the same formula I gave to some of my other babies for colicky tummies. It will give Kate the extra calories she needs, but it doesn't have some of the extra's that she needs like the calcium that is in the other fortifier. They will have to add those in some other way. It amazes me daily how many things there are to think about, learn, and figure out with these preemies! I'm so grateful for all the knowledge Kate's doctors, nurses, and all the other staff have. They take such great care of her!!
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