6.2.3. Neonatology - Common Post-Natal Problems - Hypoglycaemia Flashcards
1
Q
What Babies are at Risk of Hypoglycaemia?
A
- Limited Glucose Supply
- Hyperinsulinism
- Increased Glucose Utilisation
2
Q
What can cause Limited Glucose Supply?
A
- Premature Babies
2. Perinatal Stress
3
Q
What can cause Hyperinsulinism?
A
Infants of Diabetic Mothers
4
Q
What can cause an Increased Glucose Utilisation?
A
- Small / Large for Gestational Age
- Hypothermia
- Sepsis
5
Q
What are the Neonatal Symptoms of Hypoglycaemia?
A
- Hypothermia / Temperature Instability
- Lethargy / Hypotonia / Jitteriness
- Poor Suck and Feeding / Vomiting
4 .Apnoea (Irregular Respiration) - High Pitches / Weak Cry
- Seizures
- Asymptomatic
6
Q
What is the Disadvatages of Blood Sugar Measuring in a Neonate?
A
- Bedside Tests can be inaccurate:
- a) At High or Low Levels
- b) When there is Poor Perfusion
- c) When there is Polycythaemia
Note - Hypoglycaemia = Blood Sugar < 2.6 mmol/L