A 40 week infant is 250 grams above birthweight on DOL 3 and…
A 40 week infant is 250 grams above birthweight on DOL 3 and remains on the ventilator support for management of congenital pneumonia. His urine output is 1.2 ml/kg/hr for the last 24 hours. He is on TPN and has a UAC with normal saline infusing. Total fluids are 70 ml/kg/day. His sodium today is 131. You recognize that his sodium is low secondary to:
Read DetailsA term, AGA infant had severe hypoglycemia in the first 24 h…
A term, AGA infant had severe hypoglycemia in the first 24 hours of life and is requiring a glucose infusion rate of 13 mg/kg/min with continued low glucose levels on DOL 5. The infant was previously eating normally in newborn nursery before developing hypotonia, apnea, and cyanosis, then a seizure. The septic workup was negative. What do you suspect the cause of the hypoglycemia is?
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