Neonatal hypoglycaemia Flashcards
1
Q
Neonatal hypoglycaemia - when?
Infants at risk
A
If energy demands increased or glucose availability decreased
Infants with IUGR (decreased substrate availability)
Infants of diabetic mothers (hyperinsulinaemia)
Prematurity (decreased availability)
Infants who have experienced significant hypoxia in labour
Infants who are ‘large for dates’ - probably due to undiagnosed gestational diabetes
2
Q
Clinical features
A
Jitteriness Cyanosis Apnoea Hypothermia Hypotonia Poor feeding Lethargy Seizures
3
Q
Management
A
Good diabetic control for mothers
Screening in at risk babies
Glucose 10% IV infusion 5ml/kg/hour
Initial dose of 2.5ml/kg given over 5 minutes if severe enough to cause fitting or loss of consciousness
Mild symptomatic persistent hypoglycaemia may respond to a single dose of glucagon - 20microgram/kg
