AWHONN Convention
 

Sessions

H6B - Buccal Dextrose Gel Decreases NICU Admissions for Hypoglycemia and Increases Breastfeeding Exclusivity Rates

Wednesday, June 15, 2016 : 8:45 AM

Title: H6B - Buccal Dextrose Gel Decreases NICU Admissions for Hypoglycemia and Increases Breastfeeding Exclusivity Rates

Texas 1-3 (Gaylord Grapevine)
Tracey Rippon, MS, BSN, RNC-OB, C-EFM , Nursing Education, Women and Infants Hospital, Providence, RI
Joy A. Delisle, BSN, CCRN , Women and Infants Hospital, Providence, RI
Dale Monnier, BSN, RNC-OB, C-EFM , Nursing Education, Women and Infants Hospital, Providence, RI
Michael R. Muller, Pharm. D. , Department of Pharmacy, Women and Infants Hospital, Providence, RI

Discipline: Neonatal (N)

Learning Objectives:
  • Explain the pharmacokinetics and evidence supporting the use of dextrose gel in infants with hypoglycemia.
  • Outline the algorithm created to standardize the management of hypoglycemia in neonates at a large academic medical institution.
  • Examine the data that shows a decrease in NICU admissions and increase in breastfeeding exclusivity rates after the change in practice to include the buccal administration of dextrose gel.

    • Submission Description:
    Based on latest evidence that buccal administration of dextrose gel can reduce NICU admissions and promote euglycemia a change was made to include the administration of dextrose gel for infants with glucose levels between 25 and 39mg/dl. To standardize the management of neonatal hypoglycemia, an algorithm was created for multidisciplinary staff at a large academic medical institution. A reduction in NICU admissions and an increase in breastfeeding exclusivity rates were demonstrated.

    See more of: H6 -Oral Presentations on Newborn Topics
    << Previous Abstract | Next Abstract >>