Nursing Care Plan for Hyperbilirubinemia in Infants

Nursing Care Plan for Hyperbilirubinemia in Infants



Hyperbilirubinemia is a condition where excessive concentration of bilirubin in the blood, causing joundice in neonates (Dorothy R. Marlon, 1998)

1. Impaired Skin Integrity related to jaundice or radiation.

Goal: good skin integrity / normal.

Expected outcomes:

  • Good skin integrity could be maintained.

  • No injuries / lesions on the skin.

  • Good tissue perfusion.

  • Protect the skin and retain moisture and natural treatments.


Intervention:
  • Avoid wrinkles in the bed.

  • Keep your skin to stay clean and dry.

  • Mobilization of the patient every 2 hours.

  • Monitor the existence of skin redness.

  • Wash with soap and warm water.


2. Hyperthermia related to exposure to a hot environment.

Goal: temperature in the normal range.

Expected outcomes:

  • Body temperature within normal range.

  • Pulse and respiration within normal limits.

  • There is no change in skin color.


Intervention:
  • Monitor the temperature as much as possible.

  • Monitor skin color.

  • Monitor blood pressure, pulse, and respiration.

  • Monitor intake and output.


3. Fluid volume deficit related to inadequate fluid intake, phototherapy, and diarrhea.

Goal: adequate body fluids.

Expected outcomes:


Intervention:
  • Record the number and quality of feces.

  • Monitor the skin turgor.

  • Monitor intake output.

  • Give water between breastfeeding or giving a bottle.


4. Knowledge Deficit related to the limitations of exposure.

Goal: family got knowledge about the disease that affects children.

Expected outcomes:

  • The family said the understanding of the disease, condition, prognosis and treatment programs.

  • Families are able to carry out the procedure described correctly.

  • The family was able to explain again what is described nurse / other health team.


Iintervention:
  • Describe the pathophysiology of the disease.

  • Describe the signs and symptoms of the disease that usually appears in the right way.

  • Describe the disease process in a proper way.

  • Provide information on the patient's family about the conditions in an appropriate manner.

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