Some infants are treated with 40% dextrose (a form of sugar) gel applied directly to the infant's mouth. There are two main ways that<unk>  is treated. The first way includes intravenous infusion of glucose. For less severe, borderline, asymptomatic<unk>  neonates early introduction of breast milk can be effective for raising glucose levels to a healthy level. Any infant at risk of<unk>  should have their blood sugar taken again one hour after birth. Oral glucose is another option to restore normal glucose levels if the newborn is having difficulty latching to the breast or breastfeeding is not an option, however, breast milk is proven to be a better source as it includes glucose and carbohydrates. It is recommended by The American Academy of Pediatrics that infants feed within the first hour of life with the glucose reading being 30 minutes after this feeding for an accurate result. If the initial feeding does not raise the newborn's blood glucose above 40 mg/dl then the newborn must receive an IV infusion of 10% dextrose in water as a mini bolus as 2 ml/kg over 1 minute. Following the mini bolus a continuous infusion of 10% dextrose in water at 80-100 ml/kg/day in order to maintain a healthy serum glucose level between 40 and 50 mg/dl. Maintaining newborn thermoregulation is a large part in preventing further<unk>  as well. Nursing care management The biggest nursing concern for a neonate experiencing<unk>  is the physical assessment to potentially find the cause. It is also essential to prevent environmental factors such as cold stress that may predispose the newborn for further decreasing blood sugar. Within the physical assessment, comorbidities of<unk>  should also be assessed such as intolerance of feeding, or respiratory distress. Another important nursing intervention is assisting the mother in successful breastfeeding as this can prevent and treat<unk> . If an IV infusion of 10% dextrose in water is initiated then the nurse must monitor for: •Circulatory overload •Hyperglycemia •Glycosuria •Intracellular dehydration
Neonatal hypoglycemia
Neonatal diabetes
Leucine-sensitive hypoglycemia of infancy
Transient neonatal diabetes
Permanent neonatal diabetes
Transient hyperammonemia of the newborn
Neonatal hypocalcemia
Shaken baby syndrome