Neonatal Glycemic Control with Parenteral Nutrition
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Questions and Answers

What is the primary focus of this Clinical Guideline?

  • Glycemic control in the neonate receiving parenteral nutrition (correct)
  • Glycemic control in pediatric patients
  • Glycemic control in adults with type 2 diabetes
  • Glycemic control in pregnant women with gestational diabetes
  • What is a potential consequence of severe hyperglycemia in neonates?

  • Respiratory distress
  • Cardiovascular disease
  • Neurodevelopmental impairment
  • Electrolyte imbalance and dehydration (correct)
  • What is the elevated risk of in neonates receiving parenteral nutrition?

  • Hyper- and hyponatremia
  • Hyper- and hypoglycemia (correct)
  • Hyper- and hypokalemia
  • Hyper- and hypocalcemia
  • What is a potential outcome of untreated hypoglycemia in neonates?

    <p>Neurodevelopmental impairment</p> Signup and view all the answers

    What population is particularly susceptible to the deleterious effects of hyperglycemia?

    <p>Premature infants with low birth weight</p> Signup and view all the answers

    Study Notes

    Background of Clinical Guideline

    • The guideline addresses glycemic control in neonates (within the first month of life) receiving parenteral nutrition (PN).
    • Neonates receiving PN are at an elevated risk of hyper- and hypoglycemia.

    Risks of Hyper- and Hypoglycemia

    • Untreated hyper- or hypoglycemia can lead to undesirable clinical outcomes.
    • Prolonged or symptomatic hypoglycemia may result in neurodevelopmental impairment.
    • Severe hyperglycemia can cause osmotic diuresis, leading to dehydration and electrolyte imbalance.

    Special Considerations for Premature Infants

    • Hyperglycemia in premature infants, especially those with very low birth weight (VLBW), may have additional consequences.

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    Description

    This quiz covers the clinical guidelines for glycemic control in neonates receiving parenteral nutrition, focusing on the prevention and management of hyper- and hypoglycemia. It's essential for healthcare professionals to understand the unique considerations for this high-risk population.

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