Diagnóstico y manejo de la hipoglicemia neonatal en atención primaria de salud

Abstract

Neonatal hypoglycemia is a very frequent alteration in newborns in the first hours of life due to an inefficient metabolic adaptation to extrauterine life and other risk factors, which, as it is not diagnosed and in time, brings severe consequences. This type of case has a high prevalence in the neonatal period compared to other pediatric ages. This work was started with the purpose of solving the following question: Can hypoglycemia be managed in a Health Unit without neonatology, its causes and when it should be referred to a more complex Unit? Objective: To determine the clinical characteristics of the newborn with a diagnosis of hypoglycemia to establish an optimal management in primary health care. Methodology: A bibliographic review was carried out that is framed in a problem in relation to the area of Medical and Health Sciences, in the discipline of Pediatrics, on the diagnosis and management of neonatal hypoglycemia in Primary Health Care, which is It has based on scientific articles from relevant, endorsed and updated websites such as: SCIELO, PUBMED, EBSCO, SCIENCE DIRECT, as well as the Practical Guides corresponding to the subject. Conclusion: Several authors agree that the criteria for neonatal hypoglycemia are blood glucose values <45 mg/dL, based on symptoms and risk factors. If this metabolic disorder is not treated in an appropriate care environment, it can lead to neurological damage in the neonate and even death.