Hypoglycaemia Flashcards
1
Q
Define hypoglycaemia
A
a condition where glucose levels in blood are lower than normal <2mmol/l
2
Q
Risk Factors of hyperglycaemia?
A
diabetic mothers beta blocker mothers IUGR SGA low birth weight
3
Q
Clinical signs of hyperglycaemia?
A
acidosis hypothermia sepsis cyanosis apnoea seizures lethargy high pitched cry jittery abnoraml feeding behaviour hypotonia
4
Q
Management of care ??
A
thermo regulation skin to skin feeding <1hour Diabetic <30mins feed 2-3hourly until bms >2mmol/l express?
5
Q
Indication to commence BMS?
A
diabetic mother low birth weight clinical sign preterm hypothermic babes
6
Q
Management of bms?
A
2mmol/l x2 pre-feed (2nd feed)
1.0-1.9mmol/ 40% dextrose 200mg/kg alongside feeds inform paed
blood glucose <1.mmol/l urgent paed r/v - IV access
