How do you manage hyperbilirubinemia?
Phototherapy is an effective treatment for hyperbilirubinemia, but the number needed to treat varies widely depending on sex, gestational age, and time since delivery. If indicated, phototherapy should be initiated based on gestational age and risk factors.
Is a safe intervention used to treat hyperbilirubinemia in the newborn?
Phototherapy. Phototherapy is treatment with a special type of light (not sunlight). It’s sometimes used to treat newborn jaundice by lowering the bilirubin levels in your baby’s blood through a process called photo-oxidation.
What implications does hyperbilirubinemia have on newborns?
If the level of bilirubin becomes very high, it may affect some of the baby’s brain cells. This may cause the baby to be less active. In rare cases, a baby may develop seizures (convulsions). The effects of this kind of jaundice may also lead to deafness, cerebral palsy and/or mental retardation.
What is the acceptable bilirubin level for newborn?
In a newborn, higher bilirubin is normal due to the stress of birth. Normal indirect bilirubin would be under 5.2 mg/dL within the first 24 hours of birth. But many newborns have some kind of jaundice and bilirubin levels that rise above 5 mg/dL within the first few days after birth.
Is 18 a high bilirubin level in newborn?
Phototherapy should be instituted when the total serum bilirubin level is at or above 15 mg per dL (257 mol per L) in infants 25 to 48 hours old, 18 mg per dL (308 mol per L) in infants 49 to 72 hours old, and 20 mg per dL (342 mol per L) in infants older than 72 hours.
How is kernicterus treated?
Kernicterus treatment Babies with high bilirubin levels are often treated with phototherapy, or light therapy. During this treatment, the baby’s bare body is exposed to a special light. The light increases the rate at which the baby’s body breaks down unconjugated bilirubin.
How quickly can kernicterus?
In some cases, symptoms and physical findings of kernicterus appear two to five days after birth. Within the first few days of life, affected infants develop abnormally high levels of bilirubin in the blood (hyperbilirubinemia) and persistent yellowing of the skin, mucous membranes, and whites of the eyes (jaundice).
Is kernicterus permanent?
Although the specific effects of kernicterus may vary, the brain damage caused by kernicterus is permanent, and therefore often results in lifelong disability requiring significant care, treatment and financial resources.