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PRACTICE GUIDELINES Feeding in the Weeks Leading Up to Discharge. PEDIATRIC NEWBORN MEDICINE CLINICAL PRACTICE GUIDELINES 2016 Revised Date Contact Person NICU Feeding Therapist Approved By Pediatric Newborn Medicine Clinical Practice Council 5/12/16 CWN PPG 6/8/16 Start glucose protocol, feed within the 1sthr of life Check glucose immediately if symptomatic. Repeat dextrose gel AND feed DBM or SF Glucose 25 - 44 mg/dL Glucose < 45 mg/dL Transfer to NICU Obtain IV access D10W bolus 2 mL/kg Transfer to 04/2013 K. Wood, J. Klein, S. Cunningham Revised: 12/2015, 11/2016, 7/2020 (posted 8/20): K Chapter 430: Neonatal Intensive Care Unit (NICU) June 1, 2016 . 2 . SUMMARY of CHANGE. This revision, dated 1 June 2016 includes the following: practices, industry guidelines and standards, and input from DoD Subject Matter Experts (SME) and Defense Health Agency (DHA) Service contacts. As directed by the DHA, these space • Check infant's nappy 3-4hrly and wash well with warm water. • Pat dry area using cotton wool ensuring area is well dried. • Identify infants at increased risk of developing nappy rash eg. Infants with loose, frequent stools 8 or Neonatal Abstinence Syndrome, and provide frequent nappy changes. • Update/ educate parents on care required Review Donor Breast Milk guidelines and application of usage in the NICU Decrease NEC in the NICU Units which had high NEC rate, but result is slower weight gain and growth, and increase length of stay . Modular Components 4/6/2016 11:57:10 AM c/- Royal Australasian College of Surgeons 250-290 Spring Street East Melbourne, VIC 3002 Neonates are frequently subjected to painful procedures, with the most immature infants receiving the highest number of painful events. 3, - 5 Despite recommendations from the AAP and other experts, neonatal pain continues to be inconsistently assessed and inadequately managed. 2, 3 A large prospective study from France in 2008 found that specific pharmacologic or nonpharmacologic analgesia **Please note that this framework has been superseded by the NICE Guideline on Neonatal parenteral nutrition (2020).**. The BAPM working group was convened to produce a Framework for Practice on the provision of neonatal parenteral nutrition (PN) relevant to all persons involved in care of the newborn in the United Kingdom (UK), including commissioners and neonatal networks. The protocols that we have developed have been packaged as a pocket companion since 2002 and developed a fast growing following. The easy to read companion includes the most commonly utilised practice protocols and drug dose specific to neonatology and updated regularly to include practice changing evidence. Published studies indicate medication errors in the NICU are common, ranging from 13 to more than 200 medication errors per 100 NICU admissions (Esqué Ruiz et al., 2016; Simpson et al., 2004; Stavroudis et al., 2010) or approximately 5% of all medication orders (Dabliz & Levine, 2012). In older studies, multiple investigators demonstrated NICU Protocols Calcium homeostasis in newborn Body Ca exists in two major compartments: skeleton (99%) and extracellular fluid (1%). Ca in the extra cellular fluid is present in three forms5 Bound to albumin (40%) Bound to anions like phosphorus
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