Bilirubin
What are the two types of bilirubin?
conjugated (direct)
unconjugated (indirect)
Which ethnicity is at higher risk for developing jaundice?
asian descent (east)
What is a noninvasive way to measure bilirubin?
Transcutanous bilimeter
Name equipment needed for treatment of hyperbilirubinemia.
incubator/warmer
phototherapy light/ biliblanket
eye protection
cover for biliblanket
radiometer
What does conjugated bilirubin mean?
processed by the liver and able to be excreted
What important question should the nurse ask when interviewing the mother regarding her other children and hyperbilirubinemia?
Did any of your other children require phototherapy?
What is the gold standard for diagnosing hyperbilirubinemia?
serum bilirubin
low intensity vs high intensity
8-10mW/cm2 per nm
30mW/cm2 per nm
What does unconjugated bilirubin mean?
Insoluble form that cannot be excreted
What does coombs positive mean?
Serum antibodies are present that cause hemolysis due to the mother and baby having different blood types.
What is the nurses role in diagnosing hyperbilirubinemia?
Notify medical team about jaundice
Nursing responsibilities during treatment
Measure irradiance
Temperature stability
Safety (eye protection, etc)
I&O
Education and documentation
Which type of jaundice is more worrisome?
pathological jaundice- appear within the first 24 hrs
What education should take place if an infant is showing signs of dehydration?
Supplementation (formula) may be needed to keep the baby nourished, hydrated and healthy.
How are appropriate ranges determined?
Plotted according to hrs of life
Why is it important to treat hyperbilirubinemia?
It could lead to Kernicterus