Nursing Diagnosis of Neonatal Jaundice in Hyperbilirubinemia infants
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Neonatal jaundice is a yellowish discoloration of the white area of a newborn baby's eyes and skin caused by excessive bilirubin levels. Other symptoms may include excessive drowsiness or a lack of appetite. Seizures, cerebral palsy, and kernicterus are all possible complications. Jaundice is a disorder caused by hyperbilirubinemia that is frequently discovered within 24 hours of the baby's birth. If not treated appropriately and promptly, hyperbilirubinemia can lead to a variety of consequences, including death. Hyperbilirubinemia is defined as an excess of bilirubin levels in the blood of more than 10% in the first week, which causes jaundice, a yellow colour that is clearly visible in the skin, mucosa, sclera, urine, and other organs, whereas the total serum bilirubin level in normal infants is 5 mg%. Bilirubin levels rise after delivery, then level off and then fall after 7 days. Pathologically, the newborn will have jaundice across the body or grades three to five with bilirubin levels (> 12 mg/dl); this condition is treated with phototherapy; if bilirubin levels are > 20 mg/dl, the baby is treated with exchange transfusion. Cerebral palsy and sensorineural deafness can result from hyperbilirubinemia. If the infant survives, he or she may develop deafness, muscular spasms, mental issues, speech abnormalities, and other neurological system disorders as a result of the kernicterus. If hyperbilirubinemia is not treated promptly, it can lead to a variety of problems, including death in babies. The expertise and competence of nurses in giving nursing care to newborn jaundice infants will play a significant part in the baby's recovery. As a result, the researcher did a case study on Neonatal Jaundice Nursing Care for Infants with Hyperbilirubinemia.
Nursing Diagnosis Procedures and Objectives
The purpose of this study is to describe nursing treatment for newborn jaundice in babies with hyperbilirubinemia. Features that are commonly found include;1-day old to 1-year-old, Skin colour is yellow,Sclera in yellow,Mucous membrane yellow. Neonatal jaundice is extremely important in nursing diagnosis. The following time diagnosis is classified. The first twenty-four hours of existence. Jaundice that develops during this time period is frequently severe, and your kid requires rapid care. Jaundice on day 2 or 3. This is frequently caused by physiologic difficulties. It is not fatal, but it has the potential to be serious. Make sure your kid is getting lots of breastmilk at this period. This is the second week. This form of jaundice is frequently caused by liver infections. Related newborn jaundice signs discovered during nursing diagnosis are:Rapid weight loss of up to 8% ,Breastfeeding issues,Stool passage delay,Nursing diagnostic objectives.
Nursing outcomes of treatment
Because of the effective feeding schedule, stooling is not predicted to be delayed.The yellow skin impact should fade with time, and the child's development rate should return to normal, with no more than 5% weight loss.It is also necessary to examine the bilirubin levels to confirm that they have returned to normal, in this case less than 1.2mg/dl. Before you release your patient, you should finish your diagnosis by informing the baby's parents about the illness. Inform them on how to care for the infant and any warning signals, such as yellow skin, in the event of a recurrence. These indicators include unwillingness to breastfeed, one diaper being dry for 12 hours, and restlessness.
Treatment of Neonatal Jaundice
Phototherapy is a form of light therapy that converts bilirubin into a harmless form. It is both safe and effective in the treatment of newborn jaundice. When the neonate's bilirubin levels are excessively high, exchange transfusion is used. It entails replenishing the baby's blood via transfusion in order to quickly lower bilirubin levels. Fiber optic blankets, commonly known as Bili Blankets, are used in the treatment of neonatal jaundice. They are wrapped around the infant and create phototherapy to help lower bilirubin levels. Breast milk feeding.Address the fundamental issue. If liver malfunction is the major cause of newborn jaundice, you may need to address the underlying cause, such as treating liver infections or, in rare circumstances, liver transplants.