Unique Plan Description: NICU Hypoglycemia (WH)
Plan Selection Display: NICU Hypoglycemia (WH)
PlanType: Medical                                 
Version: 2          
Begin Effective Date: 2022-04-05 13:00:03
End Effective Date: 2100-12-31 00:00:00
Last Updated Date: 2022-04-05 13:08:43
Available at all facilities: Yes

NICU Hypoglycemia (WH)
Laboratory
Today's Lab
	CBC with Diff
		Stat, spec type = Blood
		Select these labs if Glucose Less than 40(NOTE)*
IV Solutions

	Dextrose 10% intravenous soln (Bolus)
		2 mL/kg, Syringe, IV Push, Once
Medications
	glucose oral gel UD
		0.5 mL/kg, Gel, Buccal, Q15MIN, PRN, blood glucose < (see comment), T;N, Duration: 2 Dose(s)/Time(s)
			Comment: For Blood Glucose <40
		Medications for Persistent Hypoglycemia(NOTE)*
	diazoxide
		2.5 mg/kg, Suspension, Gastric Tube, Q8H
			Comment: Give with feeds
	chlorothiazide
		5 mg/kg, Suspension, Gastric Tube, Q12H
			Comment: Give with feeds
Patient Care
	Glucose POC - NICU
		T;N
		After bolus
		After each feeding
		After every other feeding
		After next feeding
		Before each feeding
		Before next feeding
		If patient has arterial line, order POC WB Glucose Nurse Collect - NICU(NOTE)*
	POC WB Glucose Nurse Collect - NICU
		T;N
		After bolus
		After each feeding
		After every other feeding
		After next feeding
		Before each feeding
		Before next feeding
Consults/Follow-up
	Consult Endocrinologist
		Reason for Referral: Hypoglycemia
	Consult Metabolism
		Reason for Referral: Hypoglycemia

NICU Labs Glucose less than 40 (WH)
Laboratory
	Beta-Hydroxybutyrate
		Stat, spec type = Blood
	Beta-Hydroxybutyrate (Inpatient)
		Stat, spec type = Blood
	Cortisol Level
		Stat, spec type = Blood
	Fatty Acids Free - MH/WH/FH
		Stat, spec type = Blood
	Growth Hormone
		Stat, spec type = Blood
	Insulin Level
		Stat, spec type = Blood
	Lactate
		Stat, spec type = Blood

*Report Legend:
DEF - This order sentence is the default for the selected order
GOAL - This component is a goal
IND - This component is an indicator
INT - This component is an intervention
IVS - This component is an IV Set
NOTE - This component is a note
Rx - This component is a prescription
SUB - This component is a sub phase