Which condition in an infant would be considered a contraindication to phototherapy?
The only contraindication to the use of phototherapy is conjugated hyperbilirubinemia, as occurs in patients with cholestasis and hepatic disease. In this setting, phototherapy may cause a dark grayish-brown discoloration of the skin (bronze baby syndrome).
What is a complication of phototherapy?
The short-term side effects of phototherapy include interference with maternal-infant interaction, imbalance of thermal environment and water loss, electrolyte disturbance, bronze baby syndrome and circadian rhythm disorder.
When do you stop phototherapy for neonatal jaundice?
Stop phototherapy once the serum bilirubin level is 2.9 mg/dL (50 µmol/L) below the phototherapy threshold, and repeat bilirubin measurement 12 to 18 hours after phototherapy is stopped.
What are the contraindications to phototherapy?
Contraindications for phototherapy Pregnancy and breastfeeding (PUVA) Immobility or inability to stand unassisted for 10 minutes or longer. Very fair skin (skin type 1 and 2, especially PUVA) Past excessive exposure to natural sun light or phototherapy.
What are the 2 most common types of neonatal hyperbilirubinemia?
Several types of Bilirubinemia have been reported in neonates including physiological jaundice, pathological jaundice, jaundice due to breastfeeding or breast milk and hemolytic jaundice including three subtypes due to Rh factor incompatibility, ABO blood group incompatibility and Jaundice associated with Glucose-6- …
What are the possible adverse effects and complications of phototherapy for treating neonatal jaundice?
Side effects — Phototherapy is very safe, but it can have temporary side effects, including skin rashes and loose stools. Overheating and dehydration can occur if a baby does not get enough breast milk or formula. Therefore, a baby’s skin color, temperature, and number of wet diapers should be closely monitored.
When can phototherapy be stopped?
In some cases, phototherapy will only be needed for 24 hours or less, in some cases, it may be required for 5 to 7 days. The AAP Guidelines suggest that an infant readmitted for hyperbilirubinemia, with a level of 18 mg/dL or more, should have a level of 13 – 14 mg/dL in order to discontinue phototherapy.
What precautions should be taken in jaundice?
Quick tips
- Drink at least eight glasses of fluids per day.
- Consider adding milk thistle to your routine.
- Opt for fruits like papaya and mango, which are rich in digestive enzymes.
- Eat at least 2 1/2 cups of veggies and 2 cups of fruit per day.
- Look for high-fiber foods, such as oatmeal, berries, and almonds.
Which light is most effective for phototherapy?
Mechanism of phototherapy: Blue-green light in the range of 460-490 nm is most effective for phototherapy. The absorption of light by the normal bilirubin (4Z,15Z-bilirubin) generates configuration isomers, structural isomers, and photooxidation products.