Question

High-risk neonatal hypoglycemia

1. What are special needs of the high-risk newborn with hypoglycemia

2. Nursing care and interventions relative to neonatal hypoglycemia and the rationales

3. Expected nursing outcomes

4. Anticipated long and short-term goals and expectations for the newborn with hypoglycemia ?.

5. Parental needs and the potential effect on the family unit

6. How to apply principles of Watson's theory of human caring to nursing care for the neonatal patient with hypoglycemia ?

Sorry, there was a typo error in the first posted questions

Answer 1

Hypoglycemia refers to low blood sugar level .It can occur in the new born which is termed to be neonatal hypoglycemia.

1.The special needs of high -risk newborn with hypoglycemia are

• Continious monitoring of patient vitals
• The baby's feeding has to be observed and assessed to prevent hypoglycemia
• IV fluids to normalize the sugar level and as a supportive therapy
• Monitoring blood glucose level of the newborn because in these type of babies ,the blood sugar may be high at birth due to the hormone passed from mother during birth ,may low down in later hours resulting in extreme low blood sugar level.
• Meticulous care to prevent infection

2.The nursing care and rationale are

• Monitoring vital signs ,gives a baseline information to plan for care
• Monitor capillary refils to assess for circulation and oxygen delivery  
• Encourage mother for expressed breast milk or breast feeding every second hourly to prevent hypoglycemia
• Avoid delayed feeding
• Administer IV dextrose as per the order
• Enternal feeding if the baby is not breastfed adequately

3.The outcome of nursing intervention are

• Baby able to get adequate feed
• Gain in weight with improvement of any signs and symptoms associated with hypoglycemia
• Maintaining a normal blood sugar level

4.Short term goal

• To prevent severe hypoglycemia by reaching the normal blood sugar level
• Prevent immediate complications
• Symptomatic treatment

Long term care

• Healthy weight
• Prevent infection
• Juvenile diabetes
• Normal mile stone development