Jaundice
The form of bilirubin produced when red blood cells are broken down
What is Unconjugated (indirect) Billirubin?
Hep B
Vitamin K
Erythromycin ointment
normal newborn respiratory rate?
30-60
Normal newborn temp?
97.7-99.5 F
Infant stomach capacity at birth?
50-60ml
The form of bilirubin after the liver has processed it. Excreted in the bowel and urine.
What is Conjugated (direct) Billirubin?
hypoglycemic threshold for a newborn.
<35-45 Facility dependent
condition that causes rapid breathing in newborns shortly after birth. Usually term newborns. During pregnancy, the baby's lungs are filled with fluid. After birth, this fluid is usually absorbed, but in some cases, it remains in the lungs
What is Transient Tachypnea of the Newborn (TTN)?
The flow of heat from the body surgace to cooler surrounding air or air circulation of a body surface
What is Convection?
In what amount of time do you want the infant to pass first stool?
24 hours
Appears after 24 hours of age.
Bilirubin levels typically peak between days 3-7 and then decline.
Generally, the infant is otherwise healthy, feeding well, and gaining weight.
What is Physiological Jaundice?
A big indicator of sepsis in a newborn
What is Hypothermia?
Common in pre-term infants caused by a lack of surfactant in the lungs. The infant may have tachypnea, tachycardia, retractions, nasal flaring, grunting, cyanosis, diminished breath sounds, or rales.
What is Respiratory Distress Syndrome (RDS)?
Heat loss to cooler solid surfaces near baby.
What is Radiation?
Thick, green-black, tar-like. Formed from swallowed amniotic fluid, lanugo, bile, and intestinal cells.
What is meconium?
Appears within the first 24 hours of life. Bilirubin levels rise rapidly or do not decline as expected. May be associated with other symptoms like lethargy, poor feeding, or abnormal muscle tone. May be caused by blood group incompatibility, infections, liver problems, or genetic disorders
What is Pathologic Jaundice?
Received through colostrum and breast milk, helping protect mucous membranes.
What is passive immunity IgA?
condition where a newborn inhales meconium (fetal stool) into their lungs, causing breathing difficulties.
What is Meconium Aspiration Syndrome?
Heat loss when moisture turns to vapor
What is Evaporation?
Daily caloric intake
110-120kcal/kg/day
Discuss assessments and treatments for Jaundice in the hospital and at home.
Assess for yellowing of the skin by blanching and examining the sclera. Monitor I&O (Weigh diapers) and thermoregulation (monitor temps). TC Billi scans or Total and direct lab draw. Billi lights, Billi blanket. Keep the infant in double double-walled isolette or crib if able to maintain temperature. Change positions, keep protective cover over eyes and genitalia with frequent exams of eyes. Safe sunlight exposure.
Transferred through the placenta, especially during 3rd trimester.
What is IgG passive immunity?
Ductus venosus (the fetal vessel) – bypasses liver
Foramen Ovale (the flap-like opening between the right and left atria in the fetus) – shunts blood R atrium → L atrium
Ductus arteriosus – bypasses lungs by → connecting the pulmonary artery to the aorta
Education you can give to regulate body temp of newborn?
Skin-to-skin contact, delayed bathing atleast 6-24 hours, keep infant dry and bundled, avoid undressing, control environment temps, and keep a hat on infant.
Three main Hepatic functions of a newborn?
iron storage, blood glucose regulation and vitamin k production.