Nursing diagnosis of jaundice

Most newborn babies will suffer from jaundice a few days after birth. It is a normal phenomenon for babies to suffer from jaundice. Mothers do not need to be too nervous, but they should also pay attention to the baby's jaundice. When the baby's jaundice is felt to be more serious, the baby should be taken to the hospital for examination in time. Of course, in the process of taking care of the baby, you should also have some understanding of the care methods.

1. Prenatal treatment can include maternal plasma exchange, intrauterine blood transfusion and consideration of early delivery.

2. Postpartum treatment includes blood exchange therapy, blue light therapy), correction of anemia and symptomatic treatment (plasma and albumin can be transfused, acidosis and hypoxia can be corrected, warmth should be maintained, and rapid infusion of hyperosmotic drugs should be avoided).

Nursing care for jaundice

1. Activity intolerance is related to anemia caused by massive destruction of red blood cells.

2. Potential complications: Bilirubin encephalopathy is related to the passage of bilirubin through the blood-brain barrier.

3. Lack of knowledge is related to lack of understanding of jaundice.

The severity of the symptoms is related to the amount of IgG antibodies produced by the mother, the degree of antibody binding to fetal red blood cells, and the fetus's compensatory ability. ABO hemolytic disease varies greatly in clinical practice, and Rh hemolytic disease is often more serious than ABO hemolytic disease.

1. Fetal edema. The baby is born with edema all over the body, pale skin, often with chest and abdominal effusion, hepatosplenomegaly and anemic heart failure. If not rescued in time, most of them will die, and severe cases will be stillbirth.

3. In patients with Rh hemolytic anemia, anemia usually occurs early and is severe; in patients with ABO hemolytic anemia, anemia is less common and usually does not appear until the late neonatal period. Severe anemia is prone to anemic heart failure.

4. Bilirubin encephalopathy refers to the pathological damage of brain tissue caused by free bilirubin passing through the blood-brain barrier, also known as kernicterus. It usually occurs 2 to 7 days after birth, especially in premature infants. When serum bilirubin > 342umol/L (20mg/dl), it is easy to cause kernicterus, which requires active treatment.