Glucose Metabolism Flashcards Preview

Neonatal Pathophysiology > Glucose Metabolism > Flashcards

Flashcards in Glucose Metabolism Deck (70)
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61

What medications are known to cause hyperglycemia?

dilantin,caffeine, theophylline and MOB on diazoxide

62

What is diazoxide?

a non-diuretic thiazide, it suppresses pancreatic insulin release; some units use this as a first line therapy for refractory hypoglycemia

63

How do steroids affect serum glucose levels?

steroids derease peripheral glucose utilization and increase gluconeogensis and enhances the infant's response to glucagon

64

What are s/s of hyperglycemia?

increase serum glucose levels, glycosuria (more than trace is concerning), osmotic diuresis with resultant dehydration and hyperosmolar state

65

Why should hyperosmolar states be avoided?

a/w IVH

66

How should hyperglycemia be treated?

adjust fluids/GIR, insulin gtt

67

Why should IVF with

cannot take dextrose away entirely, if you need to lower a level re not giving adequate substrate for body fx

68

What is the desired range of GIR?

5-8mg/kg/min

69

What is the potential long term implications of prolonged, recurrent low blood glucose levels?

play a role in adverse neurologic sequelae

70

Why are glucose related mistakes one of the most common causes of lawsuits for pediatricians?

lack of screening at risk groups, failure to confirm, poor documentation of intervention and symptoms s/p treatment