Neonatal jaundice management aims to prevent kernicterus (bilirubin encephalopathy) by monitoring bilirubin levels and providing phototherapy when indicated. Physiological jaundice appears after 24 hours, peaks day 3-5, resolves by 2 weeks. Pathological jaundice: appears <24 hours, rises rapidly, persists >2 weeks, or direct bilirubin elevated. Assessment: visual inspection (blanching skin); transcutaneous or serum bilirubin; risk factors (prematurity, blood group incompatibility, breastfeeding). Phototherapy uses blue-green light to convert bilirubin to excretable forms. Nursing care during phototherapy: eye protection; maximize skin exposure; monitor temperature and hydration; continue breastfeeding. Exchange transfusion for severe cases. Education: feeding frequency to promote excretion; recognizing worsening jaundice (spreading to extremities, lethargy, poor feeding). Documentation includes bilirubin levels, phototherapy hours, and feeding. Follow-up for early discharge infants prevents readmission. Kernicterus causes permanent neurological damage, making prevention critical.

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Zambia

• Naomi Miselo – 31 pts

• Visual Pathway Lesions
• Positive and Negative Symptoms
• Hallucinations and Delusions
• Antipsychotic Medications
• Emergency: Environmental Emergencies