Home | | Medicine Study Notes | Hypoglycaemia of the New Born

Chapter: Medicine Study Notes : Paediatrics

Hypoglycaemia of the New Born

Not a big deal, but needs to be recognised and managed.

Hypoglycaemia of the New Born

 

·        Not a big deal, but needs to be recognised and managed


·        Causes (either big babies or small babies): 

o  Hyperinsulin: Child of poorly controlled diabetic mother. ­Maternal glucose ® ­fetal glucose ® ­fetal insulin (important growth factor in utero) ® fatter and larger baby, ­haemoglobin 

o  Small babies: Double whammy: lack of substrate and ­requirements (eg cold quicker)

o  If septic or otherwise sick (may also go hyperglycaemic due to cortisol and adrenaline)


·        Symptoms: 

o  Usually none. Can be asymptomatic at < 1 mmol/litre of glucose [would cause convulsion in adult] 

o  May be jittery (but most common cause is difficult delivery)

o  Convulsions or floppy (post-ictal) – late sign


·        Prevention:

o  Identify at risk babies and monitor blood glucose

o  Feeding is usually required (normal babies can go 48 hours without a feed)

o  May need IV glucose

o  Prevent hypothermia.  If they‟re small and get cold they will become hypoglycaemic

 

Study Material, Lecturing Notes, Assignment, Reference, Wiki description explanation, brief detail
Medicine Study Notes : Paediatrics : Hypoglycaemia of the New Born |

Related Topics

Medicine Study Notes : Paediatrics


Privacy Policy, Terms and Conditions, DMCA Policy and Compliant

Copyright © 2018-2024 BrainKart.com; All Rights Reserved. Developed by Therithal info, Chennai.