NICU Glucose and Electrolytes Flashcards
In the NICU, glucose should be over
50
To go home, glucose should be over
60
Babies entering the NICU should start on a D10W infusion of blank cc/kg/day
80
What is a normal glucose infusion rate?
5 to 8 mg/kg/min
To wean D10 infusion while advancing feeds, glucose needs to be above
60
How fast to wean D10:
by 1 to 2 mL/hr
If an infant’s glucose is between 50 and 60, should you wean their D10W infusion?
Nope, keep it where it is
If an infant’s glucose is between 40 and 50, what should you do?
Increase dextrose concentration in their IVF, or increase IVF rate
If infant’s glucose is below 40, what should you do?
Give a D10 bolus AND increase IVF rate or dextrose concetration
What is the max PIV infusion rate for a newborn?
120 cc/kg/day
When should a NICU baby get his/her first glucose?
By 90 min of life or 30 min after IVF started
What to do if blood glucose is less than 50:
Diff sources are saying diff things….. but this source says:
Give a D10w bolus
Adjust dextrose or rate of IVF
Check BG again in 30 min
and then check BG q1 hour until there are two that are above 50 in a row
And keep checking BG every 3 to 6 hours until baby is 24 hours old
What is the most common reason for a low sodium in neonates?
Dilutional–aka excess IVF or poor diuresis
What to do about a low sodium:
Decrease total fluids
Or switch free water to 1/4 NS
or both
Who should get daily electrolytes?
All babies receiving IVF or TPN, until lytes prove that they are stable
