Changes of blood sugar and total calcium in hyperbilirubinemic neonates after exchange transfusion

khoshdel, A. and danesh, A. (2003) Changes of blood sugar and total calcium in hyperbilirubinemic neonates after exchange transfusion. journal of shahrekord university of medical sciences, 5 (3).

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Abstract

Exchange transfusion is a therapeutic method for immediate treatment of hyperbillirubinemia to prevent kernicterus, but it has some complications including hypoglycemia and hypocalcemia. This study was performed to find the changes of blood sugar and calcium after blood exchange and their possible correlation with weight, blood incompatibility and bilirubin decrease rate. Thirty-six neonates with blood exchange were evaluated over a period of 6 months. Blood samples were collected from umbilical vein catheter, before and 6 hours after the exchange transfusion, and their total calcium, bilirubin and blood sugar were measured. Following every 100 ml of blood exchange, 1 ml of calcium gluconate (10%) was infused slowly. Our results showed that, 6 hours after exchange transfusion, the total calcium level was decreased. There was no significant correlation between calcium decrement and weight. Also, no significant correlation was found between blood incompatibility and bilirubin decrement. There was no significant alteration of blood sugar 6 hours after exchange transfusion. We recommend using of calcium gluconate during exchange transfusion and serial measurement of calcium level until its level is stable.

Item Type: Article
Uncontrolled Keywords: Blood sugar, Calcium, Exchange transfusion, Neonatal Hyperbilirubinemia.
Subjects: WP Gynecology
WQ Obstetrics
WS Pediatrics
Divisions: Faculty of Medicine > Department of Clinical Sciences > Department of Obstetrics and Gynecology
Faculty of Medicine > Department of Clinical Sciences > Department of Pediatrics
Reserach Vice-Chancellar Department > Journal of Shahrekord University of Medical Sciences
Depositing User: Users 1 not found.
Date Deposited: 26 Sep 2017 10:26
Last Modified: 26 Sep 2017 10:26
URI: http://eprints.skums.ac.ir/id/eprint/5705

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