Disruption of IV Fluids due to PIVC issues.Respiratory distress, hypoxia, asphyxia.Glucose-6-phosphate dehydrogenase deficiency, G6PD.Less than 37 Weeks Gestational Age (GA).Large for Gestational Age (LGA) greater than 90% Percentile.Small For Gestational Age (SGA) less than 10% Percentile.Table one: Risk factors include, but are not limited to Maternal Factors Risk factors should be assessed on admission, and a blood glucose level (BGL) ordered if the neonate has 1 or more risk factors. Most neonates with hypoglycaemia are initially asymptomatic, and therefore, early detection of hypoglycaemia is based on surveillance of neonates who have risk factors for hypoglycaemia. True blood glucose (TBG): Blood glucose measurement from laboratory or blood gas analyser, the most accurate reading of a blood glucose Risk Factors Hypoglycaemia: A TBG or BGL below 2.6mmol/L Gas (CBG): blood test less invasive than arterial blood gas collected from infant heel, Level (BGL): Blood glucose measurement from a bedside glucometer, which is less accurate at low readings. This guideline will provide information about the risk factors, clinical signs, investigations, and treatmentof neonatal hypoglycaemia. When there is an imbalance between glucose supply and glucose utilisation, the neonate may experience hypoglycaemia – which is defined as a blood glucose measurement of below Impacted by various risk factors and/or underlying conditions. The balance of glucose supply and glucose utilisation in the neonate is Immediately after birth, the neonate must adapt and stimulate its own glucose supply with the assistance of enteral feeds (or intravenous fluids if the newborn is unable to feed).Įven with immediate commencement of breastfeeding/formula feeding/intravenous glucose, there is an expected period of less than 72 hours post-birth in which the glucose levels fluctuate in the neonate. This, coupled with a transient increase in insulin production cause a drop in blood After birth, the umbilical cord is cut and the glucose supply ceases. Untreated hypoglycaemia has a high mortality rate, and prolonged or severe neonatal hypoglycaemia can result in brain injury and adverse neurological outcomes which may impact theĭuring intrauterine life, the neonate receives a continuous supply of glucose from the placenta via the umbilical cord. Hypoglycaemia is the most common metabolic disorder of the neonate, and occurs in 5-15% of all neonates.
0 Comments
Leave a Reply. |
AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |