Y'all make me feel like our NICU is in the stone ages!!!! We don't EVER use it!! I've only ever heard of well-baby using it for circumcisions. God, I"m going to be viewed as a bad nurse when I work outside the state of Alabama obviously! Oh well, I know it's going to be bad for me since at our unit we make ventilator settings changes, give surfactant, intubate, etc etc!!!!!!
~Kristina~
Stone age? if you´d knew how many different treatment options are available and have been shown as effective, but no one cares about them, for various reasons........ Yo cant be a bad nurse, because you can tell your colleagues about the use of sucrose now:) .
We also do this things you mentioned above, and we also have few people that dont use sucrose or glucose the way they should or could.....one has to remind himself of the option that we have by using oral sucrose/glucose. It is little work but great benefit for the patient........
we use sweetease... although i think we are switching to tootsweet (because its cheaper of course). No doc order. but a standard protocol. 0.2 ml x3. Not on NPO or intubated kids
My son personally participated in a research study when he was a preemie in NICU, where they used a pacifier dipped in sucrose during heel sticks...they recorded him and followed him during his whole 4 month stay.
We give sucrose 24% to our babies (0.1cc x 3 --> not enough for the big bb if you ask me!).
We technicaly need an order but don't always get one. The "newer" nurses are less reluctant to give sucrose without the order than the more "senior" ones.
Also, we give intubated babies sucrose and let them suck on their pacifiers.
I find it's also good when a baby was put NPO for observation and a resident "forgets" to order to start feeds (especialy in the middle of the night)
Does anyone have any research/evidence that the administration of oral sucrose can lead to hyperglycaemia ? especially in infant of diabetic mothers thanks
I work in a level 3 NICU in MI. We have used Sucrose for about 3-4 years. It is included in our standing orders. We can use it on any non- vented baby >28 wks. We just dip the pacifier in and let them suck on it. Technically you can draw it in a syringe and give 1-2 cc but I never really see anybody do it that way. We havn't noticed any increae in NEC related to use of sucrose. The only problem we had was a couple of times we opened a cup of sucrose and it was moldy! (gross!). We changed to a new brand (toot-sweet) that comes in clear cups and we have had no forther issues with mold. Goodluck in your practice change. Sucrose works great!!!
We will put a small bit on the end of a pacifier or our finger and give it to intubated kids. We have to have an order for sucrose solutions. I can't think of how often...it is a dip to up to 1ml for the bigger kids.
thanks
skysurfer
19 Posts
Stone age? if you´d knew how many different treatment options are available and have been shown as effective, but no one cares about them, for various reasons........
Yo cant be a bad nurse, because you can tell your colleagues about the use of sucrose now:) .
We also do this things you mentioned above, and we also have few people that dont use sucrose or glucose the way they should or could.....one has to remind himself of the option that we have by using oral sucrose/glucose. It is little work but great benefit for the patient........