al.ghada68

thats why i asked about it, i felt something was wrong in that TPN. that baby had no other drips going on. our doctors usually fill a TPN request paper in the morning, they specify the GIR they want and the total intake. they don't tell how much the dextrose concentration. we send the request to the pharmacy and they calculate the dextrose concentration based on the GIR the doctore ordered. and that what i want to understand. because he couldn't believe a baby with a GIR 11 and he is still hypoglycaemic. and i couldn't believe a dextrose concentration of 6% would help at all. maybe it was a mistake in the TPN preparation from the pharmacy or something.

I'm trying to understand what is the GIR is, i had a hypoglycaemic baby today, his RBS was only 32 and he was on D5, then after giving the 2cc push of D10, the doctor changed the dextrose in the TPN to D6.2% and after one hour the RBS was 38! i asked the doctor if we can just hang a D7.5 or even a D10. he said : but the GIR is already 11! its more than adequate! i don't understand what the GIR is and why the doctor is so obsessed with it and refused to change the dextrose to a higher concentration! we kept pushing 2cc of D10 every hour for 3 times until my shift ended and the baby still hypoglycaemic !

we are not allowed to use diapers in our unit when the baby is under phototherapy, to expose larger surface area. we only cover the male genitalia with a folded gauze and place a urine plastic bag underneath. a new nurse came from another hospital and she was saying that they use diapers with no problems. i was wondering that diapers will almost cover half the tiny baby's body. what is the preferable practice during phototherapy? should we put diaper or not? i work in a third world country so i'm not sure if our policy is valid regarding this.