Hyperbilirubinemia nursing care plan. Care Plan for childhealthpolicy.vumc.org 2022-10-24
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Hyperbilirubinemia is a condition characterized by an excess of bilirubin in the blood. Bilirubin is a byproduct of the breakdown of red blood cells and is normally processed by the liver and excreted in the stool. When the liver is not functioning properly or there is an excess of red blood cells being broken down, bilirubin can build up in the blood and cause hyperbilirubinemia.
There are several types of hyperbilirubinemia, including unconjugated hyperbilirubinemia and conjugated hyperbilirubinemia. Unconjugated hyperbilirubinemia occurs when there is an excess of unconjugated bilirubin in the blood, which is not processed by the liver and cannot be excreted in the stool. This type of hyperbilirubinemia is often seen in newborns and is known as neonatal jaundice. Conjugated hyperbilirubinemia occurs when there is an excess of conjugated bilirubin in the blood, which is processed by the liver but cannot be excreted in the stool due to a blockage in the bile ducts.
The nursing care plan for a patient with hyperbilirubinemia will depend on the underlying cause of the condition and the severity of the bilirubin levels. In general, the goals of nursing care for a patient with hyperbilirubinemia are to:
Monitor and manage the patient's bilirubin levels: This may involve frequent laboratory tests to measure bilirubin levels and monitoring the patient for signs and symptoms of jaundice, such as yellowing of the skin and whites of the eyes.
Administer treatment as needed: Depending on the cause and severity of the hyperbilirubinemia, treatment may involve medications to help the liver process bilirubin, phototherapy to break down bilirubin in the skin, or exchange transfusions to remove excess bilirubin from the blood.
Educate the patient and their family about the condition and treatment: It is important to educate the patient and their family about the cause of the hyperbilirubinemia and any necessary treatment, as well as ways to prevent further bilirubin build-up in the future.
Monitor for complications: Hyperbilirubinemia can lead to serious complications such as brain damage and kernicterus, so it is important to monitor the patient for any signs of these complications and seek immediate medical attention if necessary.
Provide emotional support: Being diagnosed with a condition like hyperbilirubinemia can be stressful for the patient and their family, so it is important for nurses to provide emotional support and address any concerns or questions they may have.
In summary, the nursing care plan for a patient with hyperbilirubinemia should focus on monitoring and managing bilirubin levels, administering treatment as needed, educating the patient and their family about the condition and treatment, monitoring for complications, and providing emotional support. By following this plan, nurses can help ensure that the patient receives the best possible care and has the best outcomes.
Nursing Care Plan: NCP Hyperbilirubinemia
In addition to alleviating fear and anxiety, these medications alter the sensation of fullness in the stomach. This helps determine hepatocecullar dysfunction and levels can suggest the cause of high bilirubin levels. Attempts to establish a differential diagnosis. Note the following characteristics: Quantity and character of vomit e. The heart rate, respiration rate, muscle tone, reflex irritability, and color are the parameters to assess. Assessment findings: Vitals were stable and within normal ranges.
Everyone in the family is expected to be eager to hold and cuddle this newly arrived cute little one. The effects of nausea can be exacerbated by strong or offending odors. Encourage progressive activity through self-care and exercise as tolerated. Obstruction in this area can prevent bilirubin excretion. However, they were asymptomatic at the time of admission to the pediatric unit. Patient was also breast fed, while the mother adhered to a strictly vegetarian diet.
Hyperbilirubinemia Nursing Diagnosis and Nursing Care Plan
My blogging interests include issues surrounding health policy, mental health, medical ethics, and nursing. Disease Markers in Exhaled Breath: Basic Mechanisms and Clinical Applications, 346, 96. Decreasing newborn readmissions for hyperbilirubinemia. Diagnoses intestinal obstruction with distal bowel compression. American Journal of Perinatology, 18 7 , 393-396. To support the mother in continuing to breastfeed as preferred.
To have a baseline data if the therapeutic regimen is effective. Medications and IV: Vitamin D: 400 IU given PO once a day. To determine what factors lead to a fluid volume deficit of a newborn that can be treated immediately. To find out what the mother already knows and the need for supplemental teaching. The lack of available support systems and education may necessitate visiting nurses to monitor the home phototherapy program. Long-term goal: By the end of the week, through phototherapy for 15-30 minutes every day, the baby's bilirubin levels will be stable again.
4 Hyperbilirubinemia (Neonatal Jaundice) Nursing Care Plans
If the baby's growth parameters are excessive or insufficient, it may point to dehydration. Praise the patient whenever he or she effectively employs a newly acquired coping skill. Hyperbilirubinemia in the term newborn. This intervention includes; Monitor newborn's core temperature after every two hours until the temperature of Rose is stable, there is the determination of mother's and infant's blood types and Rh aspects, and there is note frequency and color of the stools as well as urine of the baby child. This is caused by an increased concentration of red blood cells and a lower proportion of subcutaneous fat in newborns. Encourage early and regular ambulation, in-bed range-of-motion ROM exercises, and position adjustments, as tolerated by the patient. This is a significant finding because with a diagnosis of polycythemia, common lab abnormalities include low blood glucose and hyperbilirubinemia.
Nursing Care Plan: Hyperbilirubinemia and G6PD Deficiency.
Explain what hyperbilirubinemia is, and how it affects the vital organs such as the liver. Sclera and mucous membranes must be inspected closely for signs of Jaundice Korioth, 2015. Monitor the blood pressure, resting pulse, breathing rate, quality, and rhythm of the pulse following physical exercise. Management of polycythemia seems to be controversial in the literature, however, all infants should be monitored for complications such as hyperbilirubinemia and hypoglycemia. Rh-Ig may minimize the incidence of maternal isoimmunization in non-sensitized mothers and may help to prevent erythroblastosis fetalis in subsequent pregnancies. My name is Megan and I am a blogger, registered nurse, and mental health advocate.
Retrieved May 15, 2022. Breast milk jaundice occurs in breastfed newborns between the first and third day of life but peaks by day 5 to 15, with a decline occurring by the third week of life Morrison, 2021. Exchange transfusion may also be prescribed in babies with extremely high bilirubin levels. Stanford Children's Health - Lucile Packard Children's Hospital Stanford. If phototherapy fails to keep the total serum bilirubin at acceptable levels to prevent kernicterus, an exchange transfusion may be indicated. These allow the infant to be held, reducing the risk of Next Risk For Injury CNS Involvement Recommended Resources Recommended nursing diagnosis and nursing care plan books and resources. After learning these new skills, the mother is expected to feel more confident about feeding her baby and less fearful about their condition.
Retrieved from Sankar, J. Increased leukocyte count signals infection e. Non-specific written instructions are most likely a key factor contributing to the low attendance rate for early community follow-up for jaundice, as studied by Kaplan et al. For some newborns, phototherapy will work within 48 hours, but others need as long as seven days with the treatment. When a patient is able to learn and practice relaxation techniques on their own, they have a greater sense of autonomy and self-care competency.
Provide Tepid Sponge Bath as necessary. What are the pharmacological management options, why these are appropriate? This seemed to make the mother feel more at relaxed. Current best evidence: a review of the literature on umbilical cord clamping. And if an abscess develops, discomfort may become localized. When a child is that young, they are dependent on the people around them, it is important for nurses to provide not only health teaching, emotional support but reminders that self-care is important to. Nursing Interventions 7 The nurse should have plans of how they can treat Rose as she is suffering from Hyperbilirubinemia.
Retrieved from Dahav, P. Nursing References Ackley, B. High risk for altered body temperature High risk for altered body temperature related to treatment with phototherapy To maintain body temperature within normal range of 36. Due to their high levels of indigestible carbohydrates and fiber, these vegetables promote gas production. As they grow older, the color of the skin that they were born with may change. . These include: -Physiologic Jaundice happens during the first few days of a baby's life and is the result of waiting for the baby's liver to realize it needs to start removing bilirubin Pruthi, 2020.
