Effects ofAsphaxia : Central nervous system-                                                            CardiovascularHypoxic ischemic encephalopathy                                        o Myocardial ischemia Infarction                                                                                    o Poor contractility Intracranial hemorrhage                                                           o Tricuspid insufficiencySeizures                                                                                        o Hypotension Cerebral edema                                                                    o PulmonaryHypotonia                                                                                   o Pulmonary hypertension Hypertonia                                                                                  o Pulmonary hemorrhage                                                                                             o Respiratory distress syndrome  Renal                            —> Acute tubular or cortical necrosis Adrenal                        —> Adrenal hemorrhage Metabolic                    --> SIADH, Hyponatremia, Hypoglycemia, Hypocalcemia, Myoglobinuria Integument                  -+ Subcutaneous fat necrosis Hematology                -p DIC Gastrointestinal          —> Perforation, Ulceration with hemorrhage, Necrosis During asphyxia the infant may remain hypotonic or change from hypotonia to extreme hypertonia or their tone may appear normal. These changes are seen simultaneously and the change in muscle tone is also of the same degree in both the limbs.