Patient data Exhibits The nurse is reviewing the orders for the infant of a diabetic mother to determine priorities Which 6 orders take priority?
Explanation & Rationale
A. Transfer to NICU - While NICU care is important, immediate stabilization takes precedence. B. Keep in warmer with bilirubin lights - This is important for thermoregulation and managing jaundice but is not the most immediate concern. C. Bolus of 2 ml/kg glucose 10% IV - This is critical to address the hypoglycemia (blood glucose 35 mg/dl). D. Blood glucose level - Monitoring is essential for ongoing assessment of hypoglycemia. E. Contact Respiratory Therapy for ABG and oxygen therapy - Given the high respiratory rate and potential for respiratory distress, this is a priority. F. Feed immediately - Feeding can help stabilize blood glucose levels. G. Apply dextrose (sugar) gel inside the baby's cheek - This is an alternative to IV glucose but less immediate than a bolus. H. Echocardiogram - Important for cardiac assessment but not an immediate priority. I. Monitor for respiratory distress - Essential due to the high respiratory rate and risk of complications from maternal diabetes. J. Monitor temperature every 30 minutes - Important for detecting hypothermia due to the low axillary temperature.