Just wanted some incite on what different hospitals do in regards to blood sugars/glucometers on all newborns? Do you automatically do them on all newborns? Thanks
Dec 12, '02
We don't unless the babe is symptomatic, LGA, or mom had GD. I think you're lookin for trouble if you do it on all of them! LOL!
Dec 12, '02
not everyone. if less than 5 lbs. or more than 8.5 lbs., infant of dm mom, low (less than or = 6 at 5 min.) apgars, low temp 96.8 or less, seem to be in distress (ex. need o2 support to maintain pulse ox above 95%), suspected sepsis or birth defect. less than 37 weeks gestation or more than 41 weeks. or symptomatic. whew!! sounds like a lot doesn't it?
Dec 13, '02
We do about the same for the well babies. Also done on admission to the NICU and within 2-4 hours of hanging new IV fluids. Also, whenever we happen to be drawing labs. Or 2 hours later if we have had to give insulin.
Dec 13, '02
The previous hospital I worked at we did them on all newborns. My current hospital does them only if SGA, LGA, if mom was diabetic, or they are symptomatic
Dec 13, '02
Our blood sugar policy is like the above, LGA, SGA, diabetic mom's, UKNOWN/UNTREATED GBS, suspected sepsis, or s/s of blood sugar instability.
Dec 15, '02
SGA, LGA, less than 37 weeks, get accuchecks on admission and then x 2 AC. Symptomatic, or Temp. < 97.5 rectal get checked X 1. Babies of diabetic moms get accuchecks X 24 hours( 1, 2, 3, 6, 12, and 24 hours old) This is our standing orders for Well babies.
Dec 20, '02
we do 3 AC blood sugars during transition on babies of group b strep moms,sga,lga, and of diabetic moms.We continue to do AC glucoses on sga and lga until we get 3 above 40 in a row.
Dec 21, '02
we do blood sugars on sga, lga, diabetic moms, meconium, low apgars. We do a series of 3.
Dec 23, '02
All babes get one shortly after birth. SGA and LGA get a series of three
Dec 12, '02Occupation: NICU RN Joined: Oct '00; Posts: 2,537; Likes: 369We don't unless the babe is symptomatic, LGA, or mom had GD. I think you're lookin for trouble if you do it on all of them! LOL!
Dec 12, '02Joined: Mar '02; Posts: 1,843; Likes: 1,237not everyone. if less than 5 lbs. or more than 8.5 lbs., infant of dm mom, low (less than or = 6 at 5 min.) apgars, low temp 96.8 or less, seem to be in distress (ex. need o2 support to maintain pulse ox above 95%), suspected sepsis or birth defect. less than 37 weeks gestation or more than 41 weeks. or symptomatic. whew!! sounds like a lot doesn't it?
Dec 13, '02Occupation: Level III NICU Specialty: NICU ; From: US ; Joined: Oct '00; Posts: 1,605; Likes: 929We do about the same for the well babies. Also done on admission to the NICU and within 2-4 hours of hanging new IV fluids. Also, whenever we happen to be drawing labs. Or 2 hours later if we have had to give insulin.
Dec 13, '02Joined: Apr '02; Posts: 38,756; Likes: 16,281Our blood sugar policy is like the above, LGA, SGA, diabetic mom's, UKNOWN/UNTREATED GBS, suspected sepsis, or s/s of blood sugar instability.
