A couple of changes today....
Briony's milk had to start being fortified- she put on 20g which brings her back to where she was yesterday. They want her to be gaining around 30g a day and as she is 2 weeks old tomorrow they really want her to be back at her birth weight of 910g and she is struggling to get back there.
Unfortunately she had started refluxing her feeds too. They were being given to her continuously through a syringe driver down a tube, but have now been switched to every hour so that they can give her some Gaviscon after each feed to try and help her keep them down.
Breathing support continues to be increased and decreased as Briony needs it. At times the oxygen had to be increased to help her and at one point was up at around 40% which is higher than it has been at any point before. When she is stabilised she seems to be on 3 litres of ventiform, at around 24% oxygen, which is again higher than on previous days, where she has managed on 21% oxygen.
Her sodium levels have also dropped, so she is being given some sodium chloride every 4 hours which may not be helping with the reflux situation.
We hope that the fortified milk will help with the weight gain, as currently most of her problems seem to be linked to the fact that she is struggling to gain weight....
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