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Newborn Jaundice
Pieter Bartosh
Created on November 15, 2023
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Transcript
FILL IN THE BLANKS GAME
Physiological jaundice is caused by the high breakdown count of what kind of fetal cells, leading to the release of heme and globin causing the accumulation of bilirubin?
Neutrophils
Platelets
Erythrocytes
Lymphocytes
Lymphocytes
Erythrocytes
2. Pathological jaundice can be caused by immature ___________function, leading to a reduced ability of the newborn to convert indirect bilirubin into direct bilirubin leading to elevated serum bilirubin levels..
Stomach
Liver
liver
Pancreas
Spleen
FILL IN THE BLANKS GAME
First 24 hours
Physiological jaundice is self-resolving and typically appears within the _____________ of birth.
First 2-3 days
first 2-3 days
First week
First month
First 24 hours
Pathological Jaundice is not self-resolving and typically appears within the _____________ of birth.
First 2-3 days
Magic
first 24 hours
First week
First month
FILL IN THE BLANKS GAME
Elevated indirect bilirubin levels are dangerous; if enough accumulates in the bloodstream it can permanently damage ________.
Thyroid gland
Neurons
Liver cells
neurons
Pancreatic cells
What level of serum bilirubin does it begin to permeate through the blood vessels outside the circulatory system giving infants the yellow skin complexion associated with jaundice?
1 mg/dL
15 mg/dL
5 mg/dL
8 mg/dL
BABY
INVADERS
INVADERS
PRESS START
LEVEL 1
OF 5
What is the most common symptom of jaundice in newborn?
yellowing of the skin
low birth weight
yellow eyes
LEVEL 2
OF 5
What is a sign of pathological jaundice?
cyanosis
dark colored stools
dark colored urine
LEVEL 3
OF 5
In newborns with darker skin, signs of jaundice would most often be notice in the:
gums
skin
ears
LEVEL 4
OF 5
Symptoms of jaundice incldue:
tremors
fever
weight gain
LEVEL 5
OF 5
Newborns with jaundice begin to show yellow skin first at the:
abdomen
extremitites
face
NEW HIGH SCORE
999999
CONGRATULATIONS!
THANKS FOR PLAYING
© 20XX GENIALLY GAMES
GAME OVER
CONTINUE?
YES
NO
QUIZ
TRIVIAL
Newborn Jaundice MEdications
start
Explanation
Phototherapy causes excessive insensible water loss that can lead to dehyration. Dehyrdation causes bilirubin levels to rise. Healthcare workers should increase oral feeding to combat this loss
Explanation
One of the main concerns for neonates is hypoglycemia. Given that newborns already lose weight after birth and that those with jaundice have poor appetite, IV glucose can help combat this outcome.
Explanation
This medication blocks maternal antibodies from attacking the newborns RBC's and thus reduces the newborn's need for additional interventions
Explanation
When serum bilirubin levels reach between 12 - 20 mg/dL, brain damage could result. Exchange blood transfusions are performed when phototherapy does not lower the serum bilirubin, or is used in conjunction with phototherapy when the newborn is experiencing a hemolytic disease as a result of blood incompatability with the maternal blood.
Solution
120 mL/kg/day * 3015 g * 1 kg/ 1000 g * 1 day/ 24 hr = 15.075 mL/hr = 15 mL/hr
Solution
(0.5 g)/kg * (1 kg)/(1000 g)* 2620 g = 1.31 g over 2 hours 1.31 g/ 2 hr = 0.66 g/hr
End of the quiz!
Regular monitoring of bilirubin levels, observe infant skin and eyes for yellowing, monitor urine and stool for changes
What would you assess in a newborn with jaundice?
level up.
WBC's
intercostal retractions
SP02
BUN
poop
In
eyes
fingernails
bilirubin levels
RR
retinopathy
urine
skin
RBC's
HR
diaper weight
Skin temperature AND eye protection
What are the areas of focus during phototherapy administration?
AND
level up.
temperature
intercostal retractions
SP02
BUN
poop
In
eye
fingernails
bilirubin levels
protection
retinopathy
urine
skin
RBC's
HR
diaper weight
Disease, signs and symptoms, complications, home care, frequent feeding