neonatal jaundice Flashcards
How long does physiological jaundice last for?
14 days
How many term babies does it affect?
50-70%
What is the lifespan of red blood cells
120 days
What are the risk factors for pathological jaundice?
Haemolytic anaemia Blood group imcompatibilty Enzyme defects RBC membrane Extravasiation of blood Cephalohaemotoma Metabolic conditions Hypothyroidism
At which timeframe should babies be examined for jaundice?
within 72 hours
What is the management of jaundice?
If develops in 24+ hours, measure sbr within 6 hrs
If noticed in less than 24 hours measure SBR within 2 hours + medical review
Tests that may be used for detecting the underlying cause of jaundice
SBR, Maternal blood group, babys blood group, direct antiglobulin test (coombs) and elution test full blood examination : looking for hamolysis, unusually shaped red bloodcells,evidence of infection, C-reactive protein CRP.