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5 Cards in this Set
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physiologic jaundice physiology
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* bili product of break down of RBC
* circulating bound to albumin * gos to liver, conjugated with glucoronic acid * now more water soluble * now can get into bile, digestive tract, pooped out * cannot be reabsorbed * unconjugated can be reabsorbed but gets broken down by gut bacteria * no bacteria in gut to break down * also have enzyme that breaks down conjugated for reabsorption they have more RBCs that break down |
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physiologic jaundice risk factors
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* not breast feeding well
* no regular bowel movements to flush bill |
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what is true hyperbilirubinemia
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* abo or rh incompatibilty
* inhertided rbc defects * g6pd * breast feed failure |
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risk factors for developing sever physiologic jaundice
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* not breast feeding well
* east asian * jaundice in first 24 hours * preterm 35-36 * cephalohematoma |
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physiologic jaundice management
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* screen those at risk
* screen those with s/s * interpret bili results with bhutani nomogram, bilitool.org * collect heal stick in office, stat transport, results 4-8 hours * requires phone follow up after visit * high risk levels need to go to hospital for phototherapy * intermediate risk repeat in 48 hours * sit with child in sunny window |
