Ebook Reference range values for pediatric care: Part 2
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Ebook Reference range values for pediatric care: Part 2
..............................................6- Hyperbilirubinemia ManagementRISK NOMOGRAMNomogram for designation of risk in 2840 well newborns at 3 Ebook Reference range values for pediatric care: Part 236 or more weeks' gestational age with birth weight of 2000 g or more or 35 or more weeks' gestational age and birth weight of 2500 g or more based on the hour-specific serum bilimbin values.From Bhutani VK. Johnson I , Sivieri EM. Predictive ability of a pt edischarge hour-specific serum bilirubin Ebook Reference range values for pediatric care: Part 2for subsequent significant hyperbilirubinemia ill healthy term and near-term newborns. Pediatrics. 1999; 103 (1) :6-14.Reference Range Values for PediEbook Reference range values for pediatric care: Part 2
atric CarePHOTOTHERAPY NOMOGRAM•Use total bilirubin. Do not subtract direct reacfng or coniugated biSrubin.•Risk factors - isoimmune hemotylic disease..............................................6- Hyperbilirubinemia ManagementRISK NOMOGRAMNomogram for designation of risk in 2840 well newborns at 3 Ebook Reference range values for pediatric care: Part 2 wk can adjust TSS levels for intervention around the medium risk line It IS an option to intervene at tower ĨSB levels for infants closer to 35 wks and at higher TSB levels for those doser to 37 6/7 wk.•II is an option to provide conventional phototherapy c hospital or at home at ĨSB levels 2-3 mg. Ebook Reference range values for pediatric care: Part 2'dL (35-5Ommol.‘L) below those shown but home phototherapy should not be used in any infant with risk factors.Guidelines lor phototherapy in hospitaliEbook Reference range values for pediatric care: Part 2
zed infants of 35 or more weeks’ gestation.From American Academy of Pediatrics .Subcommittee on 1 lyperbilirubinemia. Management of hyperbilirubinemia..............................................6- Hyperbilirubinemia ManagementRISK NOMOGRAMNomogram for designation of risk in 2840 well newborns at 3 Ebook Reference range values for pediatric care: Part 2SION NOMOGRAMAge•The dashed lines tor the first 24 hours indicate uncertainty due to a wide range of clinical circumstances and a range of responses to phototherapy.•Immediate exchange transfusion is recommended if infant shows Signs of acute bilirubin encephalopathy (hypertonia, arching, relrcco&s. Ebook Reference range values for pediatric care: Part 2 opisthotonos, fever, high pitched cry} or if TSB is 55 mg'dL (85nmol/L) above these nes•P1SX factors • isoimmune hemolytic disease. G6PD deficiency,Ebook Reference range values for pediatric care: Part 2
asphyxia, significant lethargy. temperature instability, sepsis, acidosis.•Measure serum albumin and calculate R/A ratio (See legend)•Use total biliru..............................................6- Hyperbilirubinemia ManagementRISK NOMOGRAMNomogram for designation of risk in 2840 well newborns at 3 Ebook Reference range values for pediatric care: Part 2 based on actual gestational age.Guidelines for exchange transfusion in infants 35 or more weeks’ gestation.From American Academy of Pediatrics Subcommittee OU I lyperbilirubinemia. Management of hyperbilirubinemia ill the newborn infant 35 or more weeks of gestation. Pediatrics. 2004,114(1 ):297-81 Ebook Reference range values for pediatric care: Part 26..........................................................7< Rate and Gap CalculationsGLUCOSE INFUSION RATEThe glucose infusion rate (GIR) can be calEbook Reference range values for pediatric care: Part 2
culated using the following formula:GIR = IV Rate (mL/h) X Dextrose Concentration (g/dL) X 0.167 Weight (kg)•A GIR of 5 to 8 mg/kg/min is typical.•The..............................................6- Hyperbilirubinemia ManagementRISK NOMOGRAMNomogram for designation of risk in 2840 well newborns at 3 Ebook Reference range values for pediatric care: Part 2a:..............................................6- Hyperbilirubinemia ManagementRISK NOMOGRAMNomogram for designation of risk in 2840 well newborns at 3Gọi ngay
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