Hyperbilirubinemia is a condition in which there is an excess of bilirubin in the blood. Bilirubin is a byproduct of the breakdown of red blood cells and is normally processed by the liver and excreted in the stool. When there is too much bilirubin in the blood, it can cause yellowing of the skin and whites of the eyes, a condition known as jaundice.
There are several different types of hyperbilirubinemia, including unconjugated, conjugated, and mixed. Unconjugated hyperbilirubinemia occurs when the liver is not able to properly process and excrete bilirubin. Conjugated hyperbilirubinemia occurs when there is a blockage in the bile ducts, preventing bilirubin from being excreted. Mixed hyperbilirubinemia is a combination of both unconjugated and conjugated hyperbilirubinemia.
The treatment for hyperbilirubinemia will depend on the underlying cause of the condition. In cases of unconjugated hyperbilirubinemia, treatment may include phototherapy to help break down the excess bilirubin in the blood. In cases of conjugated hyperbilirubinemia, treatment may include medications to help unblock the bile ducts and surgery to remove any obstructions.
As a nurse, it is important to closely monitor the patient's bilirubin levels and assist in the administration of any prescribed treatments. It is also important to educate the patient and their family on the importance of following their treatment plan and any necessary lifestyle changes, such as a change in diet.
In addition to medical treatment, there are several nursing interventions that can be implemented to help manage hyperbilirubinemia. These may include:
- Providing education on the importance of proper nutrition and hydration.
- Assisting with the administration of medications and monitoring for any adverse effects.
- Providing skin care to prevent breakdown and reduce the risk of infection.
- Monitoring for any changes in the patient's condition and reporting any concerns to the healthcare team.
- Assisting the patient with activities of daily living and providing emotional support.
Overall, the goal of nursing care for a patient with hyperbilirubinemia is to support the patient in managing their condition and achieving the best possible outcome. This may require close collaboration with the healthcare team and ongoing communication with the patient and their family.
Abdominal Distention Nursing Diagnosis and Nursing Care Plan
However, it can be stopped earlier if the effects are proven. When she feels ready, she may assist the 2. Discuss home management of mild or moderate physiological jaundice, including increased feedings, diffused exposure to sunlight checking infant frequently , and a follow-up serum testing program. If the patient complains of abdominal discomfort, pain, or nausea, or if he or she begins to vomit, immediately notify the physician. The spread of germs to the newborn is prevented by utilizing sterile equipment and not using the same equipment for every infant. The lack of available support systems and education may necessitate visiting nurses to monitor the home phototherapy program. Everyone in the family is expected to be eager to hold and cuddle this newly arrived cute little one.
Hyperbilirubinemia: Nursing Process (ADPIE)
Am Fam Physician, 72 7 , 1277-1282. Nursing Care Plan for Abdominal Distention 3 Nursing Diagnosis: Impaired Comfort related to abdominal distention secondary to ascites, as evidenced by crying, guarding of the abdominal area, shallow breathing, frequent grimacing, anxiety, irritability, and restlessness. This may also increase levels of comfort. Breathing using the diaphragm or abdomen may be beneficial for people with abdominal distention. Through thorough observation of the newborn, a healthcare provider can identify the necessity for intervention, and the efficacy of treatment. Through this I encouraged my patients mother to take a shower, while I watched over the patient and giver her comfort knowing her needs mattered too.
Nursing Care Plan: Hyperbilirubinemia and G6PD Deficiency.
Severe hemolytic processes can lead to heart failure; therefore, monitoring heart rate, pulse volume, blood pressure, apex location, and perfusion is essential. Management of polycythemia in neonates. Treatment of hyperbilirubinemia relies on its cause. As well, I could collect and weigh each diaper to calculate a urine output. The Apgar score serves as the starting point for all subsequent observations of a newborn. As the infant had lost weight it is important to take into consideration their hydration level and oral intake. When a child is that young, they are dependent on the people around them, it is important for nurses to provide not only health teaching, emotional support but reminders that self-care is important to.
