When you arrive for your follow-up appointment, be prepared to answer the following questions. It lasts longer, which predisposes the infant to hyperbilirubinemia or excessive bilirubin levels in the blood. How often does your baby have a wet diaper? Jaundice is not a common presenting complaint in adults. In this new version of a pioneering text, all introductory chapters have been rewritten to provide nurses with the essential information they need to comprehend assessment, its relationship to diagnosis and clinical reasoning, and the purpose and application of taxonomic organization at the bedside. Ackley, B. J., Ladwig, G. B., Makic, M. B., Martinez-Kratz, M. R., & Zanotti, M. (2020). Continue with Recommended Cookies, Hyperbilirubinemia NCLEX Review and Nursing Care Plans. As bile obstruction progresses, the levels of these two markers rise several times above normal.17. Unconjugated bilirubin is transported to the liver by albumin for conjugation. Jaundice in an adult patient can be caused by a wide variety of benign or life-threatening disorders. Educate the parents regarding home phototherapy.The parents can use a phototherapy blanket in a bassinet or a fiberoptic pad for home phototherapy. Mayo Clinic College of Medicine and Science, Mayo Clinic Graduate School of Biomedical Sciences, Mayo Clinic School of Graduate Medical Education, Mayo Clinic School of Continuous Professional Development, Mayo Clinic on Incontinence - Mayo Clinic Press, NEW Mayo Clinic on High Blood Pressure - Mayo Clinic Press, Mayo Clinic on Hearing and Balance - Mayo Clinic Press, FREE Mayo Clinic Diet Assessment - Mayo Clinic Press, Mayo Clinic Health Letter - FREE book - Mayo Clinic Press, Financial Assistance Documents Minnesota, Book: Mayo Clinic Family Health Book, 5th Edition, Newsletter: Mayo Clinic Health Letter Digital Edition, A laboratory test of a sample of your baby's blood, A skin test with a device called a transcutaneous bilirubinometer, which measures the reflection of a special light shone through the skin, Whether your baby has bruising from delivery, Whether an older sibling also had severe jaundice. Nursing Diagnosis: Hyperthermia related to elevated serum bilirubin levels as evidenced by temperature of 38.5 degrees Celsius, rapid and shallow breathing, flushed skin, profuse sweating, and weak pulse. 2014;89:87. After 7 days of nursing interventio ns, the patient skin color will be normal. To assist in creating an accurate diagnosis and monitor effectiveness of medical treatment, particularly the fever-reducing drugs administered. Bilirubin metabolism takes place in three phasesprehepatic, intrahepatic, and posthepatic. The liver binds it to an enzyme to make it water soluble so it can easily be excreted out of the body. Wong RJ, et al. Explain the reason behind the need for IV Ig administration if this is prescribed. Other recommended site resources for this nursing care plan: Other care plans related to the care of the pregnant mother and her baby: Resources and journals you can use to further your reading about Hyperbilirubinemia (Jaundice). Anna began writing extra materials to help her BSN and LVN students with their studies and writing nursing care plans. When should my baby have a follow-up visit? Talk to your doctor if you have any questions or concerns about how much or how often your baby is feeding or if you're having trouble breast-feeding. For information on jaundice in babies, visit the Pregnancy, Birth and Baby website. Desired Outcome: At the end of the health teaching session, the patients mother will be able to demonstrate sufficient knowledge of hyperbilirubinemia and its management. The medical information on this site is provided as an information resource only and is not to be used or relied on for any diagnostic or treatment purposes. Blanching of the skin over bony prominences enhances the evaluation for jaundice. Head elevation helps improve the expansion of the lungs, enabling the patient to breathe more effectively.

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