Neonatal Jaundice
Protocols
Neonatal Jaundice:
Physiological jaundice :
- 1) Appear 2nd - 3rd day
- 2)Bilirubin rise slowly not more then 15 mg/dl
- 3) jaundice disappear 7-10 days
pathological jaundice:\
- 1) jaundice appear 1st day
- 2)jaundice rise0.5mg/dl/hrs or 10mg/dl/day
- 3) jaundice lasting more >14 days
Investigation:
- Serum bilirubin (toatl,direct & indirect)
- CBC with CRP
- Blood Group & Rh typing
- Mother blood group
- RBS
Level of bilirubin:
- Face…………...........................4-6 mg/dl
- Chest& upper abdomen….......8-10mg/dl
- lower abdomen& leg…............12-14 mg/dl
- Arms& lower leg …...................15-18 mg/dl
- plams & sole…...........................>20 mg/dl
ABO incontestability :
- mother blood group-O(+ve)
- Baby blood group-- A or B (+ve)
Rh incontestability :
- mother blood group-- Rh(-ve)
- Baby blood group – Rh (+ve)
Treatment neonatal jaundice:
- Diet-EBF
- NOP Suction stat & sos(if needed)
- 02 inhalation stat & sos(if needed)
- Keep the baby warm
if Day-1
1. inf.Dextropac-10 (according to wt-not less then 100ml)
- I/V ...microdrop/min
if -Day 2 or more
inf.Electrodex-10
- I/V ...microdrop/min
inj.Ceftazidime(cefazid)(250mg/2.5ml)
- wt/2 ml I/V stat & BD(100mg/kg/day)
Phototherapy:
- contineous phototherapy for 45 min with 15 min interval with covering eye & genitalia
