بِسْمِ اللَّـهِ الرَّحْمَـٰنِ الرَّحِيمِ الَّذِي خَلَقَنِي فَهُوَ يَهْدِينِ وَالَّذِي هُوَ يُطْعِمُنِي وَيَسْقِينِ وَإِذَا مَرِضْتُ فَهُوَ يَشْفِينِ
Solved1.70K viewsFluids and Nutrition

How can I make continuous feeding for patient preterm GA30 w and 70 day weight now 1.150 kg now  take 17 ml pre mature milk/ 2hr  and some time vomiting, baby take motinorm , nexium , gast reg

Hossam Elgnainy Selected answer as best April 22, 2024
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At first, it’s not recommended to give Gast-reg (Trimebutine) less than 12 years old.

If I understood your question correctly, you want to give the feeding continuous instead of every 2 hrs intervals. Please correct me if not.

In such a situation, a nasogastric tube or so have to be inserted. You wil, simply, take the total daily mls of the feeding received by the patient and divide it by 24. This will give you the rate. In this case it will be:

$$\frac{{17 \, \text{{ml}} \times 12}}{{24}} = 8.5 \, \text{{ml/hr}}$$

You will have to use infusion pump or similar device.

Remember to make sure the patient is recovering his daily caloric requirements.

Hossam Elgnainy Selected answer as best April 22, 2024
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Is milk stable for 24 hr in the infusion pump ?!
What the side effect of gast reg doctor use it as trial to make relaxation to lower GIT as patient make stool just feeding is that true?!

The stability of the milk is a product-specific feature. You should check the product data sheet or leaflet.
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The most common side effect of Trimebutine is CNS depression. It’s safety and efficacy is not established or studied in pediatrics less than 12 years old, so you probably have to think twice before prescribing it.

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If this baby take breast milk is there mother’s disease that may cause baby vomite?!