Glucometer use on babies

**canoehead, BSN, RN** · Aug 5, 2002

We glucoscan babies greater than 9lb, smaller than 5lb, meconium, apgars less than 7 at one minute, maternal diabetic, or just at the whim of the neonatal nurse.

Those babies falling into our glucoscan protocol get them q1h x4 and then x2 ac.

Those with a glucoscan

OBNURSEHEATHER · Aug 5, 2002

We glucoscan all babies that are SGA, LGA,

SGA's and 40, and they're done.

Heather

finallyRN · Aug 5, 2002

we glucoscan 4000, gdm, meconium, fetal distress. they need to have 3 over 40 (one at 30 minutes , 2 hors and 4 hours of age) the first one

fergus51 · Aug 6, 2002

We still do routine glucoscans on high risk infants for the first 24 hours (diabetic moms' infants, SGA, LGA and premies), but they are trying to get away from this and only do glucoscans when baby is symptomatic, which I don't really like. Our babies are considered stable after 2 normal GS in their first 24 hours of life.

mother/babyRN, RN · Aug 8, 2002

We also routinely check babies over 9 pounds and under 5 pounds. We also are able to do so per nursing, such as with an infant who seems jerky. We do them for infants of gestational diabetics and on those who entered the world with some kind of respiratory distress. We do not routinely do them on mec kids.

mother/babyRN, RN · Aug 8, 2002

at birth, then 2 hours, 2 hours and 4 hours. We don't like to stick the little kiddos...

CTRN1 · Aug 10, 2002

We do blood sugars on any baby 9lb 3oz or more, 5lb 6oz or less, if mom is diabetic (insulin or diet controlled) under 37weeks, or PRN.

The first is done within 1 hour of life. The protocal is Q 1 hour X3, if all are above 45, it then goes to Q3h AC X12 hours, and VS are done each time as well. If any are below 45 then it is Q 1 hour until you get 3 in a row above 45, then on to Q3hours. If below 45 then you feed baby and re test in 1 hour

NICU_Nurse, BSN, RN · Aug 12, 2002

Forgive the ingnorance...what is glucoscan? Is this different than using a lancet?