Please follow your facilities guidelines and policies and procedures. Gall-bladder cancer classically presents with jaundice, hepatomegaly, and a mass in the right upper quadrant (Courvoisier's sign). Physiological jaundice is the most common type of newborn hyperbilirubinemia. Phototherapy is a treatment wherein a baby is placed under a special blue spectrum light to reduce the bilirubin levels, while keeping the eyes protected. Although phototherapy has not been used long enough that long-term effects can be studied, there appears to be minimal risk to an infant from the procedure, provided the infants eyes remain covered, and dehydration from increased insensitive water loss does not occur. Other etiologies of hemolysis include autoimmune disorders, drugs, and defects in hemoglobin structure such as sickle cell disease and the thalassemias.11. Saunders comprehensive review for the NCLEX-RN examination. Physiologic jaundice occurs 3 to 5 days after birth and is an increase in unconjugated bilirubin levels that do not exceed 5 mg/100 dL/ day. The most common etiologies are as follows: Diagnosis of hyperbilirubinemia usually begins with history taking and physical examination. Her experience spans almost 30 years in nursing, starting as an LVN in 1993. Medical-surgical nursing: Concepts for interprofessional collaborative care. National Institute of Diabetes and Digestive and Kidney Diseases. 1. 2. Wagle, S., & Aslam, M. (2017, December 28). Certain drugs, when taken long-term, can cause hyperbilirubinemia. Jaundice in adults | healthdirect (2021, January 6). Nursing Care Plans Nursing Diagnosis & Intervention (10th Edition)Includes over two hundred care plans that reflect the most recent evidence-based guidelines. Manage Settings A systematic approach is warranted to clarify the cause quickly so that treatment can begin as soon as possible. Jaundice Nursing Care Plan 1 Nursing Diagnosis: Hyperthermia related to infection and excessive bile in the blood secondary to adult jaundice as evidenced by temperature of 39 degrees Celsius, rapid and shallow breathing, flushed skin, profuse sweating, and weak pulse. Anna Curran. This information is not intended to be nursing education and should not be used as a substitute for professional diagnosis and treatment. 7. Blood test bilirubin levels, together with aminotransferase, and alkaline phosphatase are tested. In both instances, because the fetus has a different blood type than the mother, the mother builds antibodies against the fetal red blood cells, leading to hemolysis of the cells, severe anemia, and hyperbilirubinemia. To assist in creating an accurate diagnosis and monitor effectiveness of medical treatment, particularly the antibiotics and fever-reducing drugs administered. Phototherapy is a treatment wherein a baby is placed under a special blue spectrum light to reduce the bilirubin levels, while keeping the eyes protected. Hyperbilirubinemia: Nursing Process (ADPIE) | Osmosis
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