L5: Neonatal Hypoglycemia Flashcards
Def of Neonatal Hypoglycemia
Blood glucose value < 45 mg/dl.
Incidence of Neonatal Hypoglycemia
- Hypoglycaemia is the most common metabolic problem in neonatal medicine.
- It is more common in preterm and SGA infants.
Etiology of Neonatal Hypoglycemia
- Depleted glycogen stores or decreased production
Etiology of Neonatal Hypoglycemia
- Increased glucose utilization (hyperinsulinism)
Etiology of Neonatal Hypoglycemia
- Others
Pathophysiology of Neonatal Hypoglycemia
CP of Neonatal Hypoglycemia
CP of Neonatal Hypoglycemia
- Asymptomatic
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CP of Neonatal Hypoglycemia
- Symptomatic
CP of Neonatal Hypoglycemia
- These signs and symptoms are non-specific and simulate other disease states.
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CP of Neonatal Hypoglycemia
- The diagnosis should be confirmed by laboratory determination & response to ttt
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Neonates at high-risk for hypoglycemia
INVx for Neonatal Hypoglycemia
Prevention of Neonatal Hypoglycemia
TTT of Neonatal Hypoglycemia
TTT of Neonatal Hypoglycemia
- Asymptomatic < 25 mg/dl
TTT of Neonatal Hypoglycemia
- Asymptomatic 25 - 45 mg / dl
TTT of Neonatal Hypoglycemia
- Symptomatic
The highest glucose concentration in peripheral line is โฆ.., So, higher glucose concentrations need a central line.
12.5%
Most hypoglycemia resolves in โฆโฆ
2-3 days
Pathophysiology of IDM
CP of IDM
Complications of IDM