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Newborn Complication: Hypoglycemia ( please fill every box thank you!)

ACTIVE LEARNING TEMPLATE System Disorder STUDENT NAME DISORDER/DISEASE PROCESS REVIEW MODULE CHAPTER Alterations in Health (Diagnosis) Pathophysiology Related to Client Problem Health Promotion and Disease Prevention ASSESSMENT SAFETY CONSIDERATIONS Risk Factors Expected Findings Laboratory Tests Diagnostic Procedures PATIENT-CENTERED CARE Complications Nursing Care Medications Client Education Therapeutic Procedures Interprofessional Care

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neonatal hypoglycemia -when serum glucose level less than 30 mg/dl within 24 hours and 45mg/dl after that in neonates.

pathophysiology- hypoglycemia leads to interruption of glucose delivery to the brain as a result, seizure and permanent brain injury occur.

health promotion and disease prevention-mothers should maintain a normal blood glucose level during their gestation

risk factors- babies of mothers having gestational diabetes, small for gestational age, pre-term babies, birth asphyxia

large for gestational age.

expected findings- changes in neurologic behaviour,moro reflux exaggerated, jitteriness, tremors, poor feeding, high -pitched crying, seizures, lethargy

laboratory tests- bedside evaluation of blood glucose level at fixed intervals

diagnostic procedures- history collection -( term /pre-term), birth weight, family history, history of infantile seizures on siblings, history of pregnancy

physical examination.

nursing care: immediate enteral feeding (extracted breast milk or formula feed), administer IV bolus 10 % dextrose, check for hyponatremia, maintain a normothermic environment to prevent hypoglycemia, promote exclusive breastfeeding, promote skin to skin contact and kangaroo mother care

medications

Administer dextrose regardless of breastfeeding,

glucagon

glucocorticoids

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