NURS 629 Exam 4- GU, GI, psych, neuro, msk, endocrine, hematologic
-occurs when baby accumulates bilirubin
-secondary to immature liver in newborns
What is physiological jaundice?
-Risk factor is prematurity
serum conjugated bilirubin concentration greater than 1 mg/dL if the total
What level is conjugated
bilirubin is less than 5.0 mg/dL or more than 20% of the total bilirubin if the
hyperbilirubinemia?
the total bilirubin is greater than 5 mg/dL (p. 862 AAP book)
-due to poor intake that causes lack of stools and urine output
-common in first week and resolves once milk comes in and infant is
What is breastfeeding jaundice?
feeding well-more stools and urinary output
-peaks around 2-3 weeks
-dx with a bili level of 5 mg/dL
-12 mg/dL threshold for all newborns having jaundiced appearance
-direct/indirect bili levels
How do you diagnose jaundice?
-CBC
-reticulocyte count
-use of bilitool.org
, NURS 629 Exam 4- GU, GI, psych, neuro, msk, endocrine, hematologic
increased intake, longer feeding
indirect sunlight
phototherapy
How do you treat jaundice?
IV fluids
Bili lights
Biliblanket
abnormal blood cell shapes (like sickle cell)
Rh incompatibility
cephalohematoma
What are other causes of jaundice?
polycythemia (increased RBCs, SGA infants, twins)
infection
specific enzyme disorders
-life-threatening condition causing a
blockage of bile ducts inside or outside of
liver
-leads to build-up of toxins (like bilirubin)
What is biliary atresia?
-malabsorption of fat-soluble vitamins
A,D,E,K
-scaring of the liver, loss of tissue, cirrhosis
-not inherited
What are the two types of biliary fetal- noted in womb (other defects like heart, spleed, intestines)
atresia? perinatal- appears 2-4 weeks after birth
, NURS 629 Exam 4- GU, GI, psych, neuro, msk, endocrine, hematologic
-infection after birth (cytomegalovirus or rotavirus)
-autoimmune disorder
What causes biliary atresia?
-developmental issue in womb
-exposure to toxic substances
jaundice
dark urine
What are symptoms of biliary atresia?
light to white stools
poor wt gain and growth
any infant with jaundice present 2-3 weeks after birth
-direct and indirect serum bilirubin
-LFTs
How do you diagnose biliary atresia?
-abdominal x-ray
-abdominal US
-liver bx
-surgery (Kasai procedure), small intestine is attached directly to the liver
to allow bile to flow into the small intestine bypassing the cystic, hepatic,
How do you treat biliary atresia?
and common bile duct.
-liver transplant
GI virus
What are risk factors for dehydration?
NVD
-occurs when baby accumulates bilirubin
-secondary to immature liver in newborns
What is physiological jaundice?
-Risk factor is prematurity
serum conjugated bilirubin concentration greater than 1 mg/dL if the total
What level is conjugated
bilirubin is less than 5.0 mg/dL or more than 20% of the total bilirubin if the
hyperbilirubinemia?
the total bilirubin is greater than 5 mg/dL (p. 862 AAP book)
-due to poor intake that causes lack of stools and urine output
-common in first week and resolves once milk comes in and infant is
What is breastfeeding jaundice?
feeding well-more stools and urinary output
-peaks around 2-3 weeks
-dx with a bili level of 5 mg/dL
-12 mg/dL threshold for all newborns having jaundiced appearance
-direct/indirect bili levels
How do you diagnose jaundice?
-CBC
-reticulocyte count
-use of bilitool.org
, NURS 629 Exam 4- GU, GI, psych, neuro, msk, endocrine, hematologic
increased intake, longer feeding
indirect sunlight
phototherapy
How do you treat jaundice?
IV fluids
Bili lights
Biliblanket
abnormal blood cell shapes (like sickle cell)
Rh incompatibility
cephalohematoma
What are other causes of jaundice?
polycythemia (increased RBCs, SGA infants, twins)
infection
specific enzyme disorders
-life-threatening condition causing a
blockage of bile ducts inside or outside of
liver
-leads to build-up of toxins (like bilirubin)
What is biliary atresia?
-malabsorption of fat-soluble vitamins
A,D,E,K
-scaring of the liver, loss of tissue, cirrhosis
-not inherited
What are the two types of biliary fetal- noted in womb (other defects like heart, spleed, intestines)
atresia? perinatal- appears 2-4 weeks after birth
, NURS 629 Exam 4- GU, GI, psych, neuro, msk, endocrine, hematologic
-infection after birth (cytomegalovirus or rotavirus)
-autoimmune disorder
What causes biliary atresia?
-developmental issue in womb
-exposure to toxic substances
jaundice
dark urine
What are symptoms of biliary atresia?
light to white stools
poor wt gain and growth
any infant with jaundice present 2-3 weeks after birth
-direct and indirect serum bilirubin
-LFTs
How do you diagnose biliary atresia?
-abdominal x-ray
-abdominal US
-liver bx
-surgery (Kasai procedure), small intestine is attached directly to the liver
to allow bile to flow into the small intestine bypassing the cystic, hepatic,
How do you treat biliary atresia?
and common bile duct.
-liver transplant
GI virus
What are risk factors for dehydration?
NVD
