Flashcards in Glucose Metabolism Deck (70)
What medications are known to cause hyperglycemia?
dilantin,caffeine, theophylline and MOB on diazoxide
What is diazoxide?
a non-diuretic thiazide, it suppresses pancreatic insulin release; some units use this as a first line therapy for refractory hypoglycemia
How do steroids affect serum glucose levels?
steroids derease peripheral glucose utilization and increase gluconeogensis and enhances the infant's response to glucagon
What are s/s of hyperglycemia?
increase serum glucose levels, glycosuria (more than trace is concerning), osmotic diuresis with resultant dehydration and hyperosmolar state
Why should hyperosmolar states be avoided?
How should hyperglycemia be treated?
adjust fluids/GIR, insulin gtt
Why should IVF with
cannot take dextrose away entirely, if you need to lower a level re not giving adequate substrate for body fx
What is the desired range of GIR?
What is the potential long term implications of prolonged, recurrent low blood glucose levels?
play a role in adverse neurologic sequelae