Hypoglycemia

Question 1

effects of hyper-insulinemia on pulmonary development

Answer 1

• surfactant

Question 2

> 72hrs normal gluc

Answer 2

3.3

Question 3

< 72hrs normal gluc

Answer 3

2.6

Question 4

critical low glucose

Answer 4

1. 8

- 2ml/kg D10W followed by 4ml/kg per hr target > 2.6

Question 5

when in an asymptomatic baby with risk factor glucose checked

Answer 5

2hrs of life

Question 6

when in a symptomatic baby’s glucose checked

Answer 6

immediately

Question 7

intervention for glucose 1.8-2.6 in asyptomatic baby

Answer 7

feed +/- glucose reassess at 30min post feed

Question 8

intervention for glucose 1.8-2.6 in asyptomatic baby

Answer 8

feed +/- glucose reassess at 30min post feed

Question 9

other complication associated with GDM

Answer 9

chronic exposure to maternal hyperglycemia= increased insulin production=higher metabolic rate=increase RBC production to accomodate increased VO2 demands

Question 10

coverting D10 dose to D 12.5

Answer 10

multiply ml/hr by 0.1 = concentration

divide dose by 0.125