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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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THANKS FOR PLAYING

CONGRATULATIONS!

NO

YES

GAME OVER

CONTINUE?

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

signs and symptoms

HR

RBC's

disease

eye

retinopathy

home care

bilirubin levels

fingernails

urine

frequent feeding

poop

complications

SP02

temperature

What should you educate parents on?

level up.

In