Phototherapy rate of rise
[DOCX File]PAEDIATICS MCQ
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A 4-month-old infant presents with a rectal temperature of 38.7ºC, a respiration rate (RR) of 60, a heart rate (HR) of 160, and an SpO 2 on room air of 92%. He is smiling, drooling, and taking his bottle well, despite prominent intercostal retractions.
[DOC File]Major Risk factors:
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Phototherapy. Minimum evaluation and documentation must include the infant’s age, maternal history, physical exam, total serum bilirubin and the rate of rise. Phototherapy should produce a decline in the total bilirubin level of 1 to 2 mg/dL within 4 to 6 hours, and the decline should continue thereafter. I. Exchange Transfusion
[DOCX File]NCNC Jaundice Guideline
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Rapid rate of rise (>7 mg/dL/24 hours or >0.3mg/dL/hr) Other neurotoxicity risk factors (i.e. sepis or acidosis) TsB q2-4 hours: Bilirubin within 1-2 mg/dL of NCNC threshold for exchange transfusion . NOTE: all bilirubin monitoring during phototherapy should be done via serum bilirubin levels; transcutaneous bilirubin is not accurate
[DOC File]PROFORMA SYNOPSIS FOR REGISTRATION OF SUBJECT FOR …
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After 15+/-5 h of phototherapy, the rate of decline in the total serum bilirubin (TSB) was 0.35+/-0.25 mg/dl/h in the LED group vs 0.27+/-0.25 mg/dl/h in the BB group (P=0.20).It concluded that LED phototherapy is as effective as BB phototherapy in lowering serum bilirubin.19
[DOC File]CPQCC
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a. Time from outpatient recognition of need for admission to the initiation of phototherapy and/or exchange transfusion. b. Documentation of the presence or absence of any neurologic findings associated with acute bilirubin encephalopathy (ABE) c. Documentation of the rate of decline of the bilirubin after initiating phototherapy. III.
[DOCX File]Losing Lucy and Finding Hope | This is our story of losing ...
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The maximum level of bilirubin, rate of intensive phototherapy, and total duration of phototherapy were the same for both groups. However, in alloimmunized pregnancies in which the majority of fetal D-positive red cells have not been replaced by IUT, delayed cord clamping may lead to higher bilirubin levels in the neonate, but no data are ...
[DOC File]Jaundice in the Newborn
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If ≥2 values are available, also consider the rate of rise of bilirubin (>4 micromol/L/hour should be considered rapid) to decide the timing of repeating the measurement of SBR. In all cases, a careful review of risk factors of jaundice as applicable in an individual case is mandatory to see if an earlier assessment may be indicated.
CPQCC
Timely Use of Phototherapy. When not started immediately per Section II.B above, phototherapy will be started at the discretion of the attending physician. It is important to initiate phototherapy in a timely fashion in order to avoid a rapid rise in bilirubin in infants at risk of post-discharge hyperbilirubinemia.
[DOC File]HAEMOLYTIC DISEASE OF THE NEWBORN (HDN)
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If positive, monitor the titre of the antibody and the rate of rise. Amniotic fluid analysis (amniocentesis) Good index of intrauterine haemolysis and fetal wellbeing . Assesses level of bilirubin (correlates with degree of fetal red cell destruction) Liley’s chart to assess …
[DOC File]Rajiv Gandhi University of Health Sciences Karnataka
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In phototherapy baby is subjected to light of certain wavelength (430nm-470nm) at this wavelength unconjugated bilirubin is ... and absorbed, depends on the clot rise of bilirubin depends.(13) Breastfeed. ... 0.43, 95% CL-1.91-1.05, the rate of decline of serum total bilirubin STB were similar in 2 groups, 0.01, 95% CL-0.02-0.04. Study ...
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