ppt课件-neonatalhypoglycemia-emorydepartmentofpediatrics.pptVIP

Neonatal Hypoglycemia Amy Bloomquist, RNC,MSN Definition What is Normal? Defining a normal glucose level remains controversial 50 – 110 mg/dl (Karlsen, 2006) 40 mg/dl (Verklan Walden, 2004) 30 term, 20 preterm (Kenner Lott, 2004) 45 mg/dl (Cowett, R. as cited by Barnes-Powell, 2007) Incidence of Hypoglycemia Overall Incidence = 1- 5/1000 live births Normal newborns – 10% if feeding is delayed for 3-6 hours after birth At-Risk Infants – 30% LGA – 8% Preterm – 15% SGA – 15% IDM – 20% Why is hypoglycemia a problem? Glucose is the primary fuel for the brain. The brain needs a stead