Beruflich Dokumente
Kultur Dokumente
BILIRUBIN ............................................
JAUNDICE ............................................
KEY ELEMENTS
1
KEY ELEMENTS
4 Recognize that visual estimation of the degree of jaundice can lead to errors, particularly in darkly pigmented infants
5 Interpret all bilirubin levels in infant's age in hours 6
Recognize that infants at less than 38 weeks' particularly those who are breastfed, are at higher risk of developing hyperbilirubinemia
KEY ELEMENTS
7
Perform a systematic assessment on all infants before discharge for the risk of severe hyperbilirubinemia
Provide parents with a written and verbal information about newborn jaundice Provide appropriate follow-up based on time of discharge and the risk assessment
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Pre-discharge TSB in the high-risk zone Jaundice observed in the first 24 hours Blood group incompatibility Prematurity Cephalohematoma or significant bruising Exclusive breastfeeding East Asian race Previous sibling received phototherapy
KEY ELEMENTS
10
SUMMARY
1
SUMMARY
3
Thank you!
PRACTICAL TIPS
1 Cover BOTH eyes and genitals for
males. Cover only the eyes for females 2 Phototherapy must be at least 12 inches away from the chest 3 Turn at least 2 3 hours to expose the back and sides 4 Cepahlo-caudal progression 5 Remember bilirubin levels are interpreted in HOURS
ANSWERS
1. 35 or more weeks of gestation
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2-3. 12 inches away from the infant's body; eyes and genital with protective covering 4. 72 hours 5-6. Bilirubin > 25 mg/ml; bilirubin levels not decreasing despite intensive phototherapy