Friday, 16 October 2015

Hypothermia in neonate | PGI Frequently Asked Medical PG topics

Hypothermia in neonate is characterized by
A. Hyperactivity
B. Hypoglycemia
C. Apnea
D. ↑ed urinary output
E. decresed urinary output



Ans.  (B) Hypoglycemia ; (C)Apnea: E. decresed urinary output

• Signs and symptoms of Hypothermia
(a) Peripheral Vasoconstriction
— Acrocyanosis
— Cool extemities
— Decreased peripheral perfusion
(b) CNS depression                                               
— Lethargy                                                            
— Bradycardia                                                    
— Apnea                                                                              
— Poor feeding                                                      
(c) Increased metabolism                                      
• Hypoglycemia
• Hypoxia
• Metabolic acidosis 

(d) Increase in pulmonary 
 artery pressure 
 • Respiratory distress
 • Tachypnea 
(e) Chronic signs 
— Weight loss  
  (f) Other features :-Apathy, oliguria,immobility, edema, redness of extremities especially of
hands, feet and face, local hardening over the areas of erythema, rhinitis and haemorrhagic manifestation also seen.