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SEVERE NEONATAL HYPERBILIRUBINEMIA 450 micromole/L New Zealand Pediatric Surveillance Unit If you have any questions about this questionnaire please contact Professor Brian Barlow Brian. Barlow stage.ac.NZ
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How to fill out severe neonatal hyperbilirubinaemia
01
Step 1: Ensure the correct diagnosis of severe neonatal hyperbilirubinaemia by conducting a thorough physical examination of the baby and reviewing blood test results.
02
Step 2: Determine the cause of hyperbilirubinaemia through additional diagnostic tests, such as blood typing, direct Coombs test, and measurement of serum bilirubin levels.
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Step 3: Assess the severity of hyperbilirubinaemia using the bilirubin nomogram or hour-specific bilirubin levels.
04
Step 4: Initiate appropriate treatment based on the severity of the condition. This may include phototherapy, exchange transfusion, or pharmacological interventions.
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Step 5: Monitor the baby closely throughout the treatment process, regularly measuring bilirubin levels and observing for any signs of complications.
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Step 6: Provide supportive care to the baby, ensuring proper hydration, nutrition, and comfort.
07
Step 7: Communicate with the parents or caregivers, explaining the condition, treatment options, and expected outcomes.
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Step 8: Follow up with the baby and monitor their bilirubin levels after the treatment to ensure successful resolution of severe neonatal hyperbilirubinaemia.
Who needs severe neonatal hyperbilirubinaemia?
01
Severe neonatal hyperbilirubinaemia is a condition that primarily affects newborn infants.
02
It is most commonly observed in preterm babies, babies with blood type incompatibilities with their mothers (e.g., ABO or Rh incompatibility), and infants with certain genetic conditions that cause increased bilirubin production or reduced bilirubin conjugation.
03
However, any newborn can develop severe neonatal hyperbilirubinaemia, so it is important to monitor all infants for signs of jaundice and promptly assess and manage any significant bilirubin elevation in coordination with healthcare professionals.
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