HPERBILIRUBENEMIA

Question 1

What is the pathophysiology of Hyperbilirubenemia?

Answer 1

The majority of bilirubin broken down by hemoglobin into unconjugated bilirubin binds into albumin in the blood and is transported to the liver. Because the liver is immature, it dows and conjugates it in the liver, which puts it in the bloodstream.
Its not excreted properly

Question 2

What is pathologic jaundice?

Answer 2

Hemolytic jaundice
Jaundice on skin and body
Incompatibility of blood
Mom is positive, baby is negative
Hyperbilirubenemia within 24 hrs
ABO incompatibility mom is O baby is positive
RH incompatibility (mom neg baby is postive)

Question 3

Physiologic Jaundice

Answer 3

Immature hepatic function
Increased bilirubin load due to RabC hemolysis
Onset after 24 hrs peaks around 3 to 4 days

Question 4

Hyperbilirubenemia signs and symptoms

Answer 4

YELLOWING OF EYES (first sign)
Will yellow from head to toe then RESSOLVE toe to head

Question 5

Phototherapy therapeutic management

Answer 5

Have sunglasses
Rotate to expose all of skin
Baby completely nake just diaper
Monitor fluid intake
Turn off lights when DRAWING blood serum levels could mess the values and also turn off lights when doing routine care