Nursing Care for Jaudice Singapore
Jaundice among new born age babies or infant is a common condition in which there is a yellow or yellowish discoloration of the skin as well as the eyes. This is one of the most common sign. This is mainly due to an increase in circulating levels of bilirubin in the red blood serum, also known in the medical field as hyperbilirubinemia.
It usually appears after two to four days after the baby is born. Health care providers such as the nursing staff should routinely check the baby’s body twice a day to check for jaundice while still in the hospital.
Cause and Risk FactorsNeonatal babies who were born less than 38 weeks old as well as infant who are into breast feeding usually has a liver that is not active yet. Thus, it can’t eliminate the excess bilirubin in the baby’s system. This is normal and common. However, if the baby is more sick than usual, then further evaluation is warranted. Contact the physician as soon as possible.
There are several risk factors related to infant jaundice. First is premature birth in which the liver is indeed immature to eliminate bili rubin. Next is minor trauma during delivery of baby in which there becomes an increased level of bilirubin. Moreover, if the blood type of mother is not the same as the baby, the antibodies from the mother’s blood will cause the baby’s blood cells to have quicker breakdown. Lastly, breastfeeding but without adequate calories, fluid and nutrition will still cause the bay to have impaired breakdown of bilirubin.
Treatment & PlanThe main nursing care plan will depend on the clinical diagnosis of the infant. Thus, accurate clinical assessment must be done by the health professional. Use of light therapy or phototherapy or bili light can be done to eliminate the excess bilirubin for your child. The nurse must place the infant under the light and protect the baby with diaper and eye patches. Next, Intravenous Immunoglobulin or IV Ig may also decrease the bili levels of the infant given if there is the blood type of the mother is different from the baby. Lastly, exchange transfusion can be done when all treatment fails. Other home remedies to treat this condition may include increase in feeding of the baby to eliminate the bilirubin via defecation as well as to give supplemental foods for the baby.
ConclusionInfant jaundice is a common condition among infants. However, parents should monitor their babies. The nurse must teach the mother how to feed the baby and increase the feedings by either formula milk or breast feeding. Give lots of water as well so the infant will not suffer dehydration.
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