Newborn $>1\mathrm{.}5$kg: Feeding $/$ Fluid requirementsTotal Daily Fluid $/$Milk Vol.AgeWell baby $-$ Immediate milk feeding $-$Table A$.$ For first feed give $7\mathrm{.}5$mls and each feed increaseby this amount until full daily volumne reached$60$ mls$/$kg$/$dayDay $1$Day $1-$ Unstable baby start with IV $10\%$ Dextrose for the first $24$ hours. To stimulate the gutgive $2$mls$/$kg of colostrum via NGT every $3$hrs once ABC are stabilized $-$ do not deduct thisfrom IVF. Table B$80$Day $2100$ mls$/$kg$/$dayDay $3120$ mls$/$kg$/$dayDay $4140$Day $5$EBM. Increase the EBM feeds by $30$m$/$kg day and reduce IV fluids to keep within the total dailyvolume until IVF stopped ie until full $3$ hourly feed volume achieved appropriate for weight andFrom Day $2,$ start feeding with EBM via NGT $($unless baby is still unstable$)$ at $30$ml$/$kgldaypostnatal age in days. Increase total feeds $($VE $+$ EBM$)$ by $2$Oml$/$kg$/$day to max of $150$ml$/$kalday$.$ Once no longer on IVE increase EBM to max of $180$ml$/$kg$/$day$,$ but it may be possible toincrease volumes further to as much as $200$mls$/$kg$/$day but seek expert advice. Table CFor IV fluids from Day $2,$ add Na$+2-3$mmol$/$kg$/$day $(19$mls$/$kg of normal saline$)$ and K$+160$ mls$/$kg$/$dayDay $6$Always feed with EBM unlessMaximum fluid that can be given intravenously is $15$Oml$/$kg$/$d$\mathrm{.}180$ mls$/$kg$/$dayDay $7$If signs of poor perfusion or fluid overload please ask for senior opinion on whether to give abolus, step$-$up or step$-$down daily fluids.and afterwards$1$on dayA. Nasogastric $3$hrly feed amounts for well babies on full volume feeds$3\mathrm{.}9$ to$3\mathrm{.}7$ to$3\mathrm{.}5$ to$3\mathrm{.}3$ to$3\mathrm{.}1$ to$2\mathrm{.}9$ to$2\mathrm{.}7$ to$2\mathrm{.}5$ to$2\mathrm{.}3$ to$2\mathrm{.}1$ to$1\mathrm{.}9$ to$1\mathrm{.}7$ to$1\mathrm{.}5$ toWeight$4\mathrm{.}03\mathrm{.}83\mathrm{.}63\mathrm{.}43\mathrm{.}23\mathrm{.}02\mathrm{.}82\mathrm{.}62\mathrm{.}42\mathrm{.}22\mathrm{.}01\mathrm{.}81\mathrm{.}6($kg$)30292726242321201817151412$Day $140383634323028262422201815$Day $250484543403835333028252319$Day $360575451484542393633302724$Day $470676360565349464239353228$Day $580767268646056524844403632$Day $6908631777268535450454136$Day $760$Newborn Caremis$/$kg$/$daymls$/$kg$/$day$1-2$mmol$/$kg$/$day $(0\mathrm{.}5-1$ml$/$kg$/$dayof $15\%$ KCI$)$ to $10\%$ dextrose solution.contra$-$indicatedManagement guide