Infant Of Diabetic Mothet Flashcards
What are the normal blood glucose levels for a term neonate
2.0- 6.5mmols
Who is at risk for hypoglycaemia ?
Infants of diabetic mothers, macrosomic babies, small for date, premature, traumatic delivery,
How can we prevent hypoglycaemia?
Feed within 30 mins of birth, prevent hypothermia, skin to skin, feeding on demand, avoid separating mom and baby
What are the daily fluid requirements for newborn babies?
Day 1- 60ml- term, 80ml- pre term.
+ 20ml from pre term per day
Symptoms of hypoglycaemia
Lethargy, poor feeding, hypothermia, sweating, irritability, jittery, hypotonia.
Hyperinsulaemic hypoglycaemia
Hererogeneous condition caused by dysregulation of insulin secretion from pancreatic beta cells
Care of infant of the diabetic mother
Feed baby ASAP ( within 30 mins), routine blood glucose levels 2-4 hours after delivery in infant of diabetic mother
HYPERglycaemia
Blood glucose over 6.5 mmol, often post trauma, post resus.
Respiratory disorders of neonate
3 stages of reactivity
1 first period reactivity - 0-30 mins ( increases heart rate, irregular resps)
2. Decreased responsiveness( 30 mins to 3 hours) decreased HR, rapid resps
3 second period reactivity ( 2-8 hours), exaggerated responsiveness, her, tone colour
4 STAGES OF LUNG DEVELOPMENT
PCSA (
- Pseudogladular 6-16 weeks
- Cannicular 16-28
- Saccular- 28-36
- Alveolar- 36- 2 years
TTN- transient tachypnoea of newborn
STREAKY WET LUNGS
Delayed clearance of foetal lung fluid.
Occurs within 2 days
Respiratory distress syndrome
Increases in severity for first two days.
Cause: prematurity of foetal lungs
Previously called hylane membrane disease.
Risk factors for RDS
Pre mature, male sex, type of delivery, diabetes
Prevention
maternal antenatal steroids at 23-34 weeks, antibiotics for pre prom.
Symptoms of rds
Nasal flaring, grunting, increased work of breathing, tachypnoea, Sternal recession
