Neonatal Jaundice Paediatric nursing.pptx

Yellowish discoloration of the skin and the mucosa due to accumulation of excess of bilirubin in the tissue and plasma in neonates.
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1. NEONATAL JAUNDICE

2. NEONATAL JAUNDICE Yellowish discoloration of the skin and the mucosa due to accumulation of excess of bilirubin in the tissue and plasma in neonates.

3. TYPES > PHYSIOLOGICAL JAUNDICE It appears in between 30-72 hrs of age I term babies and in pre-term babies may appear easier but not before 24 hrs of age. It usually disappears by 7 th to 10 th day in term babies and by 14 th day in pre-term babies. > PATHOLOGICAL JAUNDICE / CLINICAL JAUNDICE It appears within 24 hrs of birth and persist more than one weeks in term babies and more than 2 weeks in pre-term babies. > BREAST MILK JAUNDICE It appears 2 to 5 days after birth. It occurs when certain substances in the mother’s milk may slow down the breakdown of the bilirubin in the baby’s body. > BREAST FEEDING JAUNDICE Caused by frequent or ineffective breast feeding. It occurs when a baby is not getting enough breast milk leading to increased bilirubin levels.

4. ETIOLOGY > PHYSIOLOGICAL JAUNDICE Increased red blood cell volumes and increased red cell destruction. Increased entero-hepatic circulation. Increased hepatic exaction of bilirubin. Decreased liver cell uptake of bilirubin. > PATHOLOGICAL JAUNDICE / CLINICAL JAUNDICE Excessive red cell haemolysis. Defective conjugation of biliruibin . Breast milk jaundice. Metabolic and endocrine disorders. > MISCELLANEOUS Viral hepatitis. Malaria Intrauterine infections. Rh-incompatibility ABO-incompatibility.

5. RISK FACTORS

6. PATHOPHYSIOLOGY

7. CLINICAL MANIFESTATIONS

8. DIAGNOSTIC STUDIES

9. MANAGEMENT