Give formula immediately or have the mother breastfeed to Jaundice BEFORE 24hrs

Give formula immediately or have the mother

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Give formula immediately or have the mother breastfeed to
Jaundice BEFORE 24hrs= Pathological > immature liver Jaundice AFTER 24hrs= Physiological > ^ amount of unconjugated bilirubin in the blood Jaundice: dehydration and temperature (hyperthermia) (important assessments)elevate blood glucose. Brain damage can result if brain cells are depleted of glucose.Hepatic: Immature liver Carbohydrate metabolism/ amino acid metabolism/ lipid metabolismBlood Coagulation: Vitamin Kinfluences clot activation factors (2,7,9,10) (At risk for hemorrhaging/delayed clotting) Vitamin K synthesized in the intestinal flora which is absent in a newbornuntil day 8 with the introduction of first feedingsVitamin K is given as a prophylaxis to decrease the risk for bleeding R/T vitamin K deficiencyPhytonadione (Vit K, AquaMEPHYTON)given to baby IM given 1 hour after birth Conjugation of BilirubinThere is an increase in the neonates RBC turnover and an increase RBC count at birth. Indirect bilirubin “unconjugated bilirubin” Hyperbilirubinemia: ^ levels of unconjugated bilirubin (indirect bilirubin: a fat-soluble substance that is produced by the breakdown of RBC) in the neonates blood due to the immature liver function >Serum bilirubin levels > 5mg/dLInterventions: pg 336 ATI bookPhototherapy (priority finding is sunken fontanels-> due to dehydrationdue to increased bilirubin excretion from loose stools)Jaundice: first appears in the face extending to the trunk & entire bodyTo verify Jaundice, apply gentle pressure to the skin on the check or abdomen lightly with one finger. Then, release pressure and observe the newborns skin color for yellowish tintNose, Forehead, Sternum Skin will blanch to a yellowish hue Yellowish tint to skin, sclera and mucous membranePhototherapy: bilirubin level is 12mg/dL or higherwhen the neonate is 25 to 48hrs old.
> Gestational age is based off of the mother’s menstrual history, prenatal ultrasonography, neonatal maturational exam Ballard Maturational Score (BMS): calculated by assessing the physical & neuromuscular maturity of neonate.6 Evaluation Areasdetermining the weeks of gestation Preterm <37 wks Term 38-42 wks Postterm > 42 wks Based on Weight Length Head Circumference Small Gestational Age (SGA)(neonates whose weight is below the 10thpercentile for gestational ageAverage Gestational Age (AGA) Large Gestational Age (LGA) (neonates whose weight is above the 90thpercentile for gestational ageHOW DO YOU KNOW THE BABY IS FULL TERM: FULL FLEXIN OF EXTREMITIESGI: functionally immature The GI system is functionally immature but rapidly adapts to demands for growth and development through indigestion, digestion and absorption of nutrients, as well as eliminations of waste.

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