Final answer:
The priority intervention for a neonate with a blood sugar of 45 is to provide glucose either orally or intravenously and then closely monitor blood glucose levels. Prompt treatment is crucial to prevent complications, with attention to temperature regulation, hydration, respiratory support, and Apgar score results.
Step-by-step explanation:
The priority intervention for a neonate whose blood sugar (BS) is 45 is to provide glucose to raise the blood sugar levels to a normal range. This can be done orally with glucose gel or by feeding the infant with breast milk or formula. If the infant is unable to take oral feedings or if the blood sugar does not normalize with feedings, intravenous glucose may be necessary. Close monitoring of blood glucose levels is imperative to ensure they are maintained within a safe range.
It is essential to quickly address hypoglycemia in neonates to prevent potential complications, such as neurological damage. To ensure the overall well-being of the newborn, other factors like temperature regulation, adequate hydration, and respiratory support may also be required, depending on the neonate's condition and the results of the Apgar score.
In addition to immediate glucose administration, healthcare practitioners must continuously monitor the infant for any signs of distress and be ready to intervene with more advanced medical treatments if necessary.