the activity of the enzyme UDP-glucuronyl transferase is low in the newborns.so UDP- glucuronic acid for conjugation is limited. this leads to high level of unconjugated bilirubin (beyond 25mg/dl) .it may cross the blood brain barrier resulting in hyperbilirubinemic toxic encephalopathy or kernicterus .
prevention aspects:
the drug phenobarbital is used, as it induce bilirubin metabolising enzymes in liver.
in some neonates blood transfusion may be necessaryto prevent brain damage.
phototherapy is continuously carried out till the serum bilirubin becomes normal.
phototheraphy deals with the exposure of the jaundiced neonates to blue light as bilirubin absorbs the blue light and get converted to non toxic lumirubin and get excreted.
Help nursing care plan for Neonatal Jaundice
To minimize complications of jaundice and intervene as early as possible.
I'm assuming its because of liver damage. Meninigitis can cause ICP and SIADH as well as DIC (Diseeminated intravascular coagulation) in other words little clots all throughout the body. Increased water due to SIADH can cause damage on internal organs hence liver failure.
The neonatal infection may be prevented by instilling erythromycin ointment in the conjunctival cul-de-sac at birth. It is not prevented by silver nitrate.
Vaccines for hepatitis A, hepatitis B, and yellow fever can prevent jaundice due to viral infection.
Phototherapy is the medical term meaning therapeutic exposure to sunlight. It may be used in the treatment of neonatal jaundice, vitiligo, and psoriasis, among others.
One of the top Newborn Jaundice Treatment In Greater Noida is Dr. Suneel Kumar. Jaundice in newborns and other neonatal disorders are treated holistically by Dr. Suneel Kumar. The clinic is well-equipped with amenities that are designed to create a relaxing and pleasant environment for the infant. We are available 24 hours a day to assist you if you need the best newborn jaundice treatment in Greater Noida. Here, the quest is complete. To receive thorough care, stop by our clinic.
Could be a pediatric or neonatal nurse.Could be a pediatric or neonatal nurse.Could be a pediatric or neonatal nurse.Could be a pediatric or neonatal nurse.Could be a pediatric or neonatal nurse.Could be a pediatric or neonatal nurse.
No, this patient can't donate blood, even if he is cured he/she can't donate blood until a period of 12 month from hiss last day of jaundice. This is because Liver in Jaundice patients is not working in anormal way, and the blood in those patients is poison with bilirubin, that's why they can't donate.
It's not well studied. The blue lights used for treatment of neonatal jaundice are based on accidental discoveries that sun exposure was useful in the treatment of neonatal jaundice, but no follow-up studies I'm aware of exposed infants to the sun. In a test tube, sunlight is more effective than the blue lights at breaking down bilirubin (the hemoglobin byproduct that causes jaundice and more severe problems in excess). In studies with infants, green light worked slower than blue light, but reduced recovery times. It is likely that phototherapy sitting in shade near a sun-lit green or blue surface (like grass and sky) would provide a positive effect on bilirubin, but you don't want to experiment with your baby if bilirubin levels are high. High bilirubin levels can cause brain damage, and it's not worth risking that. Talk to your doctor, get your child evaluated. If levels are high get the conventional treatment that is known to work. If levels are borderline, you might discuss with your doctor trying moderate sun exposure and testing again.
Jaundice is often seen in liver disease such as hepatitis or liver cancer. It may also indicate obstruction of the biliary tract, for example by gallstones or pancreatic cancer, or less commonly be congenital in origin. Neonatal jaundice is usually harmless: this condition is often seen in infants around the second day after birth, lasting until day 8 in normal births, or to around day 14 in premature births.
Academy of Neonatal Nursing's motto is 'Neonatal Nursing with Heart'.