Hypoglycaemia Flashcards Preview

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Flashcards in Hypoglycaemia Deck (6)
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1
Q

Define hypoglycaemia

A

a condition where glucose levels in blood are lower than normal <2mmol/l

2
Q

Risk Factors of hyperglycaemia?

A
diabetic mothers
beta blocker mothers
IUGR 
SGA
low birth weight
3
Q

Clinical signs of hyperglycaemia?

A
acidosis 
hypothermia
sepsis
cyanosis
apnoea 
seizures 
lethargy
high pitched cry
jittery
abnoraml feeding behaviour
hypotonia
4
Q

Management of care ??

A
thermo regulation
skin to skin 
feeding <1hour Diabetic <30mins
feed 2-3hourly until bms >2mmol/l 
express?
5
Q

Indication to commence BMS?

A
diabetic mother 
low birth weight 
clinical sign
preterm
hypothermic babes
6
Q

Management of bms?

A

2mmol/l x2 pre-feed (2nd feed)
1.0-1.9mmol/ 40% dextrose 200mg/kg alongside feeds inform paed
blood glucose <1.mmol/l urgent paed r/v - IV access