Scribd Logo
Upload

Welcome to Scribd!

  • 723 views

    NCP Hyperbilirubinemia Staff Nursing

    Uploaded by

    Verajoy Daan
    The nursing diagnosis is altered skin color related to the infant's inability to excrete bilirubin from the body. The plan is to use phototherapy treatment to excrete unconjugated bilirubin through evaporation while protecting the infant's eyes and genitals. Interventions include assisting with phototherapy, keeping the infant undressed, developing a systematic turning schedule to expose all skin to light, instructing the mother to continue breastfeeding, monitoring temperature and fluid intake, and evaluating for decreased yellow discoloration and bilirubin levels below 18 mg/dL.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd

    NCP Hyperbilirubinemia Staff Nursing

    Uploaded by

    Verajoy Daan
    723 views3 pages
    The nursing diagnosis is altered skin color related to the infant's inability to excrete bilirubin from the body. The plan is to use phototherapy treatment to excrete unconjugated bilirubin through evaporation while protecting the infant's eyes and genitals. Interventions include assisting with phototherapy, keeping the infant undressed, developing a systematic turning schedule to expose all skin to light, instructing the mother to continue breastfeeding, monitoring temperature and fluid intake, and evaluating for decreased yellow discoloration and bilirubin levels below 18 mg/dL.

    Original Title

    37404114-NCP-Hyperbilirubinemia-Staff-Nursing.docx

    Copyright

    © © All Rights Reserved

    Available Formats

    DOCX, PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    The nursing diagnosis is altered skin color related to the infant's inability to excrete bilirubin from the body. The plan is to use phototherapy treatment to excrete unconjugated bilirubin through evaporation while protecting the infant's eyes and genitals. Interventions include assisting with phototherapy, keeping the infant undressed, developing a systematic turning schedule to expose all skin to light, instructing the mother to continue breastfeeding, monitoring temperature and fluid intake, and evaluating for decreased yellow discoloration and bilirubin levels below 18 mg/dL.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    723 views3 pages

    NCP Hyperbilirubinemia Staff Nursing

    Uploaded by

    Verajoy Daan
    The nursing diagnosis is altered skin color related to the infant's inability to excrete bilirubin from the body. The plan is to use phototherapy treatment to excrete unconjugated bilirubin through evaporation while protecting the infant's eyes and genitals. Interventions include assisting with phototherapy, keeping the infant undressed, developing a systematic turning schedule to expose all skin to light, instructing the mother to continue breastfeeding, monitoring temperature and fluid intake, and evaluating for decreased yellow discoloration and bilirubin levels below 18 mg/dL.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 3

    LEOMY D.

    ABARQUEZ
    F-4

    Cues Nursing Diagnosis Scientific Inference Planning Nursing Intervention Rationale Evaluation

    Subjective: Absence of yellowish


    >Yellow coloring of Altered skin color Increase bilirubin To excrete the >Assist with > allowing the discoloration in
    the baby’s skin related to inability production ungonjugated Phototherapy treatment utilization of ultimate infants skin and the
    (beginning on the of the body to Bilirubin fr.om the pathways for bilirubin level within
    face and moving excrete bilirubin Deficient body of the infant bilirubin excretion normal level. As below
    down the body) conjugation 18 md/dL
    decrease clearance >Have the patient >thus, evaporation
    Objective: completely undressed maintain
    >Poor feeding and Low bacterial level
    lethargy in the intestine >Keep the eyes and > protect them from
    genitals covered the direct exposure
    increase hydrolysis in high intensity light
    >Bilirubin more than of conjugated may lead to sterility
    18 mg/dL bilirubin
    >Develop a systematic > prevent the
    increase schedule of turning the development of
    enterohepatic infant complications to the
    circulation infant(i.e.
    pneumonia) and to
    bilirubin level rises prevent the over
    up to 18 mg/dL ( 3- exposure of skin to
    4 days of life the direct light
    persistence of
    discoloration after >Instruct the mother to >to increase infant’s
    a week continue breastfeeding immunity against
    infection and
    promote child and
    conjugated mother bonding
    bilirubin transport
    to liver into >monitor the body >promote
    hepatocytes, temperature thermoregulation

    unconjugated >increase fluid intake > heat exposure may


    bilirubin lead to excessive
    reabsorbed from fluid loss
    intestinal tract and (dehydration)
    reenter the fetal
    circulation

    increase
    production of
    bilirubin

    hyperbilirubinemia

    You might also like