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학습 자료 둘러보기 →Upon recognizing the NEC triad (abdominal distention, bilious vomiting, bloody stools) with systemic signs like lethargy, the priority is to discontinue all enteral feedings immediately. This provides bowel rest, reducing metabolic demand and preventing further bacterial fermentation that can lead to perforation.
Notify the physician or neonatal nurse practitioner STAT. Prepare to initiate IV fluids (typically D10W) to maintain hydration and glucose homeostasis. Decompression via an orogastric tube to low intermittent suction is often ordered to relieve distention.
Never attempt to "restart slowly" or switch to a different formula during an acute NEC episode. Continued enteral stimulation of an ischemic bowel significantly increases the risk of transmural necrosis and intestinal perforation, which are life-threatening surgical emergencies.
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