Phototherapy

Question 1

Describe the yellow of the skin to a patient

Answer 1

NWCPM

Normally a chemical called bilirubin can be excreted out of our systems however in those that have this yellowing of the skin its not being excreted out properly and thus the yellowing is that bilirubin being built up

There are several causes including through breast milk where it can cause an elevation in this bilirubin. But its also their red blood cells with a short lifespan and because they’re so small, they have a lot of RBC. These RBC when they die release bilirubin and hence the yellowing

Question 2

What is phototherapy

Answer 2

Baby => Cot with direct light to convert bilirubin into something your baby can get rid of

Question 3

How long does a baby need to be in phototherapy for?

Answer 3

All day but can be left out for 30mins for breastfeeding and cuddle time

It will be in there until there is a safe amount of bilirubin in your child

Question 4

SE of Phototherapy (2)

Answer 4

Very safe*

Rash + loose stool + can get dehydrated

Question 5

What happens if they choose no phototherapy?

Answer 5

When dangerous amounts of bilirubin builds up - it can lead to a condition called kernicterus.

This is where the bilirubin passes to the brain and causes damage to the brain + spinal cord which can be life threatining.

It can also cause severe disability such as cerebral palsy, hearing loss and learning disabilities