How do you assess for hyperbilirubinemia?
Diagnostic procedures for hyperbilirubinemia may include: Direct and indirect bilirubin levels. A blood test can determine if the bilirubin is bound with other substances by the liver so that it can be excreted (direct), or is circulating in the blood circulation (indirect).
What is the screening tool used to determine the risk of hyperbilirubinemia in the newborn?
BiliTool. BiliTool is designed to help clinicians assess the risks toward the development of hyperbilirubinemia or “jaundice” in newborns over 35 weeks gestational age.
What are the risk factors for hyperbilirubinemia?
Common risk factors for hyperbilirubinemia include fetal-maternal blood group incompatibility, prematurity, and a previously affected sibling (Table 1). 2–4 Cephalohematomas, bruising, and trauma from instrumented delivery may increase the risk for serum bilirubin elevation.
How do you assess for kernicterus?
Diagnosis and Tests Doctors can test the bilirubin level of your newborn with a light meter before they leave the hospital. If the result is high, the doctor can order a blood test for further evaluation. This is the most accurate way to measure bilirubin levels.
What are some risks related to phototherapy the nurse needs to assess for often when caring for the newborn?
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.
What is the ICD 10 diagnosis code for hyperbilirubinemia?
Other disorders of bilirubin metabolism E80. 6 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2022 edition of ICD-10-CM E80. 6 became effective on October 1, 2021.
Which infants are at higher risk for developing hyperbilirubinemia?
Infants born at lower gestational age and those with a birth hospitalization < 48 hours tended to be at higher risk for developing severe hyperbilirubinemia.
What causes adult hyperbilirubinemia?
The predominant causes of conjugated hyperbilirubinemia are intrahepatic cholestasis and extrahepatic obstruction of the biliary tract, with the latter preventing bilirubin from moving into the intestines. Viruses, alcohol, and autoimmune disorders are the most common causes of hepatitis.
How do you know if your baby has kernicterus?
involuntary twitching of different parts of their body. problems maintaining normal eye movements (people affected by kernicterus have a tendency to gaze upwards or from side to side, rather than straight ahead) poor development of the teeth.
What is a side effect of phototherapy used in the treatment of hyperbilirubinemia?
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.