Nicholas took 60 ml last night and the occupational therapist was there to show us some stretches we can do to help Nicholas. She also helped stretch the nipple of the bottle when it was clogged and made suggestions as to when to change the way he was sitting/lying.
Nicholas took 33 ml this morning from his bottle. He wasn't very awake and that was probably the main reason why he didn't take very much. His nurse also said he could've gotten too comfortable in his mommy's arms.
Nicholas took 85 ml from his bottle this afternoon!!!! The most impressive thing is that his oxygen wasn't turned up prior to him getting his bottle. I was aware that no one had turned it up but I just wanted to see if he really needed that extra support and he did not. One of his previous nurses said that when you go down or up an additional 25 or 50 ml it doesn't make a huge difference and that is the main reason why I wanted to see what would happen. He had no desats and didn't really get tired until the very end (30 minutes).
Nicholas' feedings were changed from 80 to 90 ml but his doctor today wrote it for 90 ml. Nicholas' nurse thinks he wasn't aware of why they made the change and it should be corrected. Dr. Harlan also said it is very possible that in the next few days they increase Nicholas' bottles to 4. Once he is consistently getting 4 a day then they go straight up to 6. His amount given through the tube will also vary once they establish how much he can take with each bottle. For example, if Nicholas consistantly takes 60 ml then that will be his minimum not to get anything form the tube but if he takes 40 then he would get 20 from the tube.
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