Sweet Like Sugar
The timing of the next blood glucose check after administration of Oral Glucose Gel.
What is At least 45 minutes?
The term for low blood sugar.
What is hypoglycemia?
All Blood Glucose results are documented here.
What is EHR, Cerner?
Tremors, Lethargy, Apnea, Exaggerated Moro
What are symptoms of hypoglycemia?
The nurse obtained a bedside glucose of an infant that weighs 2400g, and the result was 38 mg/dL. This is the next action the nurse would take.
What is Give a dose of Oral Glucose Gel 0.5ml/kg, keep infant skin-to-skin, assist with breastfeeding, and hand express and feedback any EBM, Notify Physician.
What to do after 3rd administration of glucose gel.
What is Notify Physician, Call for NICU consult by NNP or Neonatologist?
Once a blood glucose result is > 40mg/dL, this is how often the blood sugar will be checked.
What is every 2-3 hours prior to feeding?
VCMC Policy NOBP.14 Hypoglycemia in the Newborn is located here.
What is Policy Stat?
Medication placed in buccal mucosa to treat newborn hypoglycemia.
What is oral dextrose?
The maternal history reveals that mom had a diagnosis of diabetes during pregnancy. This is the reason the bedside nurse will perform ______ test within ______ time frame .
What is Point of Care Testing (blood glucose) and within 1 hour of birth?
Administration of Dextrose Gel documentation occurs here.
What is the MAR, Medication Administration Record?
The essential piece of equipment you need to check a blood glucose.
What is a glucometer?
The length of time to use a heel warmer prior to newborn blood glucose check.
What is 3 minutes?
The recommended amount of formula to be fed for supplementation for an infant with hypoglycemia.
What is 15-30 ml?
A newborn with a birth weight of >4000g.
What is Large for Gestational Age?
The rationale for feeding the infant immediately after the administration of glucose gel.
What is the prevention of rebound hypoglycemia?
Interventions to minimize hypoglycemia in a neonate.
What is Skin-to-skin contact, avoid cold stress, assist with latch and/ or feeding
The preferred feeding type for a newborn.
What is breastfeeding and expressed breast milk?
The dose for oral glucose gel.
What is 0.5mL/dL?
These are the groups who are at higher risk of having issues with hypoglycemia as a result of inadequate glycogen stores – Name at least 2.
What is preterm infants, SGA infants, LGA infants, IDM infants, Late preterm infants, 5 min apgar<6, congenital syndrome?
The initial blood glucose of the infant weighing 3200g is 18 mg/dL. Your intervention will be:
What is contact NICU for consult by NNP or Neonatologist?
An outcome by initiating the Hypoglycemia Algorithm.
What is:Newborns will remain with their mothers and not receive invasive treatments for hypoglycemic management.
Decrease NICU admissions.
Promotion of breastfeeding.
The educational component parents will be given.
What is Parent Information Sheet: Newborn Hypoglycemia and verbal updates with the plan of care?
The amount of doses of oral dextrose gel that may be given before calling NICU for consult by NNP or Neonatologist.
What is 3?
Whenever possible, within the first hour of life, these actions should be initiated by nursing with the newborn.
What is immediate skin-to-skin and breastfeeding?