Metabolic emergencies in the NICU.

Authors

Ruby Gupta
Swosti Joshi, St. Christopher's Hospital for Children, Drexel University College of Medicine, Department of Pediatrics, USAFollow
Asya Asghar
Megan M Gray

Document Type

Article

Publication Date

12-2024

Abstract

Metabolic emergencies in neonates can present with nonspecific signs and symptoms. Sudden acute deterioration in a neonate should prompt consideration of metabolic disease. Common metabolic emergencies in the Neonatal Intensive Care Unit (NICU) include hypoglycemia, hyperammonemia, hyperbilirubinemia, metabolic acidosis, adrenal insufficiency, and electrolyte imbalances. These emergencies often require prompt recognition and intervention to prevent serious complications. Appropriate management depends on the diagnosis. However, initial resuscitation and stabilization can be started without a definitive diagnosis. Confirmatory testing and long-term management vary by condition and should be guided by symptoms and endocrinologist input.

Publication Title

Seminars in perinatology

Volume

48

Issue

8

First Page

151987

Last Page

151987

Recommended Citation

Gupta, R., Joshi, S., Asghar, A., & Gray, M. (2024). Metabolic emergencies in the NICU.. Seminars in perinatology, 48 (8), 151987-151987. https://doi.org/https://doi.org/10.1016/j.semperi.2024.151987