Using Dextrose (Glucose) Gel to Reverse Neonatal Hypoglycemia

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Abstract

Hospitals are challenged to implement measures to improve health outcomes, decrease costly interventions, and increase patient satisfaction. By following a nurse-driven protocol, our institution has successfully met these three challenges in our treatment of newborns diagnosed with neonatal hypoglycemia (NH).

Based on results of a randomized clinical trial,1 a multidisciplinary team trialed glucose gel as a standard treatment for NH.

During the first year, admission rates to the NICU for NH decreased by 73 percent. Exclusive breastfeeding rates for this population increased to 49 percent and 40 additional families remained together on the mother baby unit.

This practice change is improving health outcomes, decreasing expensive interventions, and increasing satisfaction among the population of infants at risk for NH.

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