Daisy's partner visits the ICU and explains that she was very determined to breastfeed. How could you support Daisy's wishes while she is in ICU to breastfeed her baby? How should breastmilk be stored in the ICU? How much breastmilk should Daisy produce in the first 48 hours postpartum? Is Daisy's milk safe to feed to her pre-term baby?
What will be an ideal response?
Suggested response: • Initially, Daisy will produce colostrum; however, after 24–48 hours, or longer in Daisy's case as she is critically ill, the colostrum will be replaced with milk. During this phase, hand expression is recommended with colostrum collected in a syringe or sample pot. Initially, the volume of colostrum may be very small, 1–2 mL each expression, and Daisy's milk may not come in for 3–6 days after her baby's birth. In the first couple of days, Daisy may only be producing 5–20 mL of colostrum each day. Her breasts will begin to enlarge as the milk is being produced. If the nursing staff caring for Daisy express her breasts with a hospital grade breast expression pump every 4 hours while she is unable to, she should be able to establish a reasonable supply of breast milk – 80–120 mL each expression once the milk is fully in and if breast expression is continued at 4-hourly intervals (including at least one overnight). • Breast milk can be stored at room temperature for 6–8 hours. If it has been frozen, then thawed it can be stored at room temperature for 4 hours. It can be stored in a cold fridge for 3–5 days, and frozen for 3 months, if kept in a separate freezer compartment from the refrigerator. • Breast milk is of particular value to preterm infants; however, Daisy's milk may not be safe for her baby depending on the medications that Daisy is receiving and the clinical condition of her baby. Advice from the baby's neonatologist or paediatrician can help determine whether the neonate can receive the expressed breast milk, or whether the milk should be discarded in the short term. 4 Is it safe for Daisy's baby to visit her in the ICU? How could bonding
You might also like to view...
Team members working with patients who have dementia need to have a common, unified approach because this type of patient requires:
A. Sameness and consistency in their lives. B. Strict rules and regulations. C. Behavior modification at all times. D. Staff who cannot be manipulated.
After teaching a group of parents about language development in toddlers, which of the following if stated by a member of the group indicates successful teaching?
A) "When my 3-year-old asks 'why?' all the time, this is completely normal." B) "A 15-month-old should be able to point to his eyes when asked to do so." C) "At age 2 years, my son should be able to understand things like under or on." D) "An 18-month-old would most likely use words and gestures to communicate."
A patient is diagnosed with an infection caused by Staphylococcus aureus, and the prescriber orders intravenous gentamicin and penicillin (PCN). Both drugs will be given twice daily. What will the nurse do?
a. Administer gentamicin, flush the line, and then give the penicillin. b. Give the gentamicin intravenously and the penicillin intramuscularly. c. Infuse the gentamicin and the penicillin together to prevent fluid overload. d. Request an order to change the penicillin to vancomycin.
Pharmacokinetics is the study of four processes that affect a drug once the patient takes the
medication. Indicate whether the statement is true or false