Metabolic emergencies (peds): Difference between revisions

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==Hypoglycemia==
==Background==
===Diagnosis===
*[[Adrenal Insufficiency]]
*Glucose <45 in symptomatic neonate
*[[Hypoglycemia (peds)]]
*Glucose <35 in asymptomatic neonate
*[[Inborn errors of metabolism]]
*Most common features: vomiting, AMS, poor feeding
**May also see lethargy, apnea, sz


==Etiology==
==References==
#Inadequate oral intake
<References/>
#Excess insulin
##Newborns of diabetic mothers
#Deficient hyperglycemic hormones (GH or adrenal hormone deficiency)
#Fatty acid oxidation or carbohydrate metabolism disorders
#Prematurity (inadequate glycogen stores)
#Sepsis


==Work-Up==
[[Category:Endocrinology]]
*Rapid glucose
[[Category:Pediatrics]]
*UA
**If ketones: adrenal or GH deficiency, inborn errors of metabolism
**If no ketones: Hyperinsulinemia, fatty acid oxidation defects
*Glucagon 0.3 mg/kg IM or IV
**If BS corrects then likely due to hormonal deficiency (e.g. adrenal insufficiency)
 
 
 
==Treatment==
 
 
==Disposition==
 
==See Also==
 
==Source==
 
 
[[Category:Peds]]

Latest revision as of 15:59, 22 March 2016

Background

References

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