## Feeding Advancement Calculator

kg

ml

12 feeds per day
Current enteral TFI: 15 mL/kg/day

Advance by:
mL every
hours

Advance rate: 31 mL/kg/day

*Wean IV rate by 1.5 mL/hr with every feed increase*
mL/kg/d

(optional)
TFI = Total Fluid Intake; q2h = every 2 hours; q3h = every 3 hours; q4h = every 4 hours

## About

- Goal feeds are rounded to the nearest 0.5 mL
- All feed rates are rounded to the nearest mL
- Number of days to full feeds are rounded to the nearest 0.25 days
- IV wean rate is rounded to 2 decimal places

## Formulas Used

## Feeding Guidelines

Trophic feeds, also known as non-nutritive feeds, minimal enteral nutrition, or gut priming feeds, are small volume feeds, approximately 10-20 mL/kg/day. Trophic feeds may be maintained for several days for the smallest babies. Typically, advancing feeds by 10-30 mL/kg/day is well-tolerated, up to a goal TFI of 150-160 mL/kg/day.