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Questions and Answers
What is the primary focus of this Clinical Guideline?
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?
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?
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?
What is a potential outcome of untreated hypoglycemia in neonates?
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What population is particularly susceptible to the deleterious effects of hyperglycemia?
What population is particularly susceptible to the deleterious effects of hyperglycemia?
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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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