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Newborn Jaundice
Pieter Bartosh
Created on November 15, 2023
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Transcript
liver
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..
Erythrocytes
Lymphocytes
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?
FILL IN THE BLANKS GAME
Pancreas
Neutrophils
Erythrocytes
Platelets
Liver
Lymphocytes
Stomach
Spleen
Magic
first 24 hours
Pathological Jaundice is not self-resolving and typically appears within the _____________ of birth.
first 2-3 days
Physiological jaundice is self-resolving and typically appears within the _____________ of birth.
FILL IN THE BLANKS GAME
First month
First week
First 24 hours
First 24 hours
First month
First week
First 2-3 days
First 2-3 days
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?
neurons
Elevated indirect bilirubin levels are dangerous; if enough accumulates in the bloodstream it can permanently damage ________.
FILL IN THE BLANKS GAME
8 mg/dL
Pancreatic cells
Liver cells
Thyroid gland
5 mg/dL
15 mg/dL
1 mg/dL
Neurons
PRESS START
BABY
INVADERS
INVADERS
yellow eyes
low birth weight
yellowing of the skin
LEVEL 1
OF 5
What is the most common symptom of jaundice in newborn?
dark colored urine
dark colored stools
cyanosis
LEVEL 2
OF 5
What is a sign of pathological jaundice?
ears
skin
gums
LEVEL 3
OF 5
In newborns with darker skin, signs of jaundice would most often be notice in the:
weight gain
fever
tremors
LEVEL 4
OF 5
Symptoms of jaundice incldue:
face
extremitites
abdomen
LEVEL 5
OF 5
Newborns with jaundice begin to show yellow skin first at the:
NEW HIGH SCORE
999999
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Newborn Jaundice MEdications
TRIVIAL
start
QUIZ
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.
Explanation
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
Solution
End of the quiz!
Regular monitoring of bilirubin levels, observe infant skin and eyes for yellowing, monitor urine and stool for changes
diaper weight
HR
RBC's
skin
eyes
retinopathy
RR
bilirubin levels
fingernails
urine
intercostal retractions
poop
BUN
SP02
WBC's
What would you assess in a newborn with jaundice?
level up.
In
Skin temperature AND eye protection
diaper weight
HR
RBC's
skin
eye
retinopathy
protection
bilirubin levels
fingernails
urine
intercostal retractions
poop
BUN
SP02
AND
What are the areas of focus during phototherapy administration?
temperature
level up.
In
Disease, signs and symptoms, complications, home care, frequent feeding