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Ebook Reference range values for pediatric care: Part 2

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Nội dung chi tiết: Ebook Reference range values for pediatric care: Part 2

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 2

for subsequent significant hyperbilirubinemia ill healthy term and near-term newborns. Pediatrics. 1999; 103 (1) :6-14.Reference Range Values for Pedi

Ebook 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 a

nd 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 hospitali

Ebook 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 t

o 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 Subcom

mittee 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 2

6..........................................................7< Rate and Gap CalculationsGLUCOSE INFUSION RATEThe glucose infusion rate (GIR) can be cal

Ebook 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 3

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