Beruflich Dokumente
Kultur Dokumente
Initiative
General Meeting
March 7, 2017
Reducing Asymptomatic
Hypoglycemia NICU
Transfers
Sherry LeBlanc NNP-BC
Department of Pediatrics
University of North Carolina at Chapel Hill
Neonatal Hypoglycemia Background
First hour: Uninterrupted skin to skin. Feed at least every 2-3 hrs
Initiate first feed by 1 hour of life. Check BG prior to each feeding
Obtain BG at 90 minutes of life.
<35mg/dL feed measureable amount+
<25mg/dL: 40mg/dL: 41mg/dL: & call NBN LIP
Continue 35-45mg/dL feed and re-check after 1hr.
Continue skin to Routine care
skin to skin & If no improvement Notify Newborn LIP
skin. See box to
feed 46mg/dL feed on demand min q2-3hr
Feed right
measurable measureable
amount + Three normal consecutive pre-prandial
amt.+ & recheck
Notify NBN BGs = PASS ^
BG in 1 hour.
LIP Call NBN LIP if infant has not
If after 2nd feeding the blood glucose is
<25mg/dL, notify NBN LIP to facilitate passed protocol by 12 hours of life.
transfer to NCCC. Continue skin to
skin.
Symptoms- poor feeding, irritability, tremors, jitteriness, exaggerated Moro, lethargy, seizure, poor tone, persistent
hypothermia
Interventions to minimize hypoglycemia: skin-to-skin; avoid cold stress; warm heel before obtaining BG; help with
latch/feeding. ^If BG values during birth-4hrs of life are 41 they may be included in the 3 consecutive passing
values.
References
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