NEC: Basic Protocol

Initiate this when NEC is suspected, or as the first part of treatment for higher stages of NEC.
 
 
NPO 
Nasogastric tube to low suction 
Vital signs q 2 hours 
Blood gases as needed 
Consider d/c of UVC and UAC if possible 
Guiac all stools and gastric aspirate 
Strict I/O (maintain UOP of 1-3 cc/hour) 
If hyperkalemic, d/c K+ from solutions 
CBC, K+, ABG frequently 
Sepsis work up, as indicated 
Follow with cross-table lateral films q 6-8 hours