Administration of lactobacillus

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Specializes in NICU, High-Risk L&D, IBCLC.

I have started working in a new unit that has started administering lactobacillus tid to our babies born

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Specializes in Pediatrics, ER.

I usually pull out the plunger from a 10cc syringe, drop in the lactobacillus (using my thumb to plug the opening at the tip), then draw back 5cc of hot water, shake it up and voila! I never have a problem, not even with the tiny el cheapo NG tubes. I also push it slowly directly through the NG or GT, I don't mix it with the feed.

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Specializes in Pediatrics, ER.

PS is the lactobacillus being used a NEC prophylaxis?

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Specializes in NICU, High-Risk L&D, IBCLC.

Thanks for the reply - I will definitely try that next time I have to administer. And yes, we are using for NEC prophylaxis. :)

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Specializes in NICU, PICU, educator.

You should probably be checking with your pharmacy/dietician on what they want you to do with it. 5ml of fluid may not be a good idea for some kids.

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Specializes in NICU, High-Risk L&D, IBCLC.

True. Thanks for bringing that up.

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Specializes in Pediatrics, ER.

True, BittyBaby. We only have older, healthier babies without any kind of immunodeficiency on the lactobacillus.

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