Nursing progress of neonatal jaundice.doc

Nursing progress of neonatal jaundice [Keywords:] bilirubin jaundice in newborn care Neonatal jaundice neonatal period because of elevated serum bilirubin, mainly unconjugated bilirubin, causing jaundice of skin and sclera. Neonatal jaundice is a common symptom of the neonatal period, neonatal jaundice, including physiological and pathological, who was born within 24 hours of jaundice, serum bilirubin greater than full-term children 220.5umol / L, premature children than 256.5umo1 / L or persistent jaundice can be diagnosed as pathological jaundice [1]. pathologic neonatal jaundice, especially jaundice. if not actively, leading to high serum bilirubin, easily through the blood-brain barrier, causing kernicterus, leading to serious complications or death. Consequently, neonatal prevention and treatment of jaundice and obstetric and pediatric medical care is an important research topic is the care for newborn jaundice are summarized below: 1. Neonatal Bilirubin Metabolism Because the fetal period of low blood oxygen pressure, red blood cell volume, high oxygen pressure after the birth of newborn blood, destruction of a large number of red blood cells, hemoglobin and life is short, break fast, the liver and other tissues of the hemoglobin and red blood cell precursors in bone marrow and more to generate an increase in bilirubin, liver function did not improve liver Y, z content of less uridine diphosphate glucuronyl transferase enzyme content of less active enough in the blood with high levels of unconjugated bilirubin, intestinal birth cavity B glucuronidase enzyme can be turned into unconjugated bilirubin, in addition to the lack of intestinal bacteria, resulting in the generation and absorption of unconjugated bilirubin increased bilirubin in meconium in the rich, if the discharge delay will cause an increase in reabsorption. 2. Nursing 2.1 The new emphasis on perinatal care JLN red pigment metabolism disorder caused by a variety of factors, no