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J Perinat Neonatal Nurs · Dec 1999
ReviewContinuous insulin intravenous infusion therapy for VLBW infants.
- G R Ditzenberger, S D Collins, and N Binder.
- Doernbecher Neonatal Care Center, Doernbecher Children's/Oregon Health Sciences University Hospitals, Portland, USA.
- J Perinat Neonatal Nurs. 1999 Dec 1; 13 (3): 70-82.
AbstractVery low birth weight (VLBW) infants less than 1,000 g often experience hyperkalemia and hyperglycemia during the initial hospital course. Hyperkalemia has been noted in 44% to 50% of infants less than 800 g birth weight or less than 28 to 29 weeks' gestation. Hyperglycemia occurs 18 times more frequently in infants less than 1,000 g than in those weighing more than 2,000 g. Insulin has been used for VLBW infants less than 1,000 g to manage hyperkalemia, control hyperglycemia, and optimize parenteral nutrition. A protocol for using exogenous insulin therapy for VLBW infants is described.
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