NICE clinical guideline 98 . Definition. Management of Neonatal Jaundine (Second Edition) TABLE OF CONTENTS No.Title Page Levels of Evidence & Formulation of Recommendation i Guidelines Development and Objectives ii Guidelines Development Group v Review Committee vi External Reviewers vii Algorithm on Management of Neonatal Jaundice viii 1. The baby’s 'corrected’ gestational age should not be taken into consideration, and you should not move up to the next graph when the baby is 7 … They should do so in the context of local and national priorities for funding and developing services, and in light of their duties to have due regard to the need to eliminate unlawful discrimination, to advance equality of opportunity and to reduce health inequalities. NICE interactive flowchart - Neonatal jaundice, Quality standard - Jaundice in newborn babies under 28 days, providing information to parents or carers, managing and treating hyperbilirubinaemia, measuring and monitoring bilirubin thresholds before and during phototherapy, assess and reduce the environmental impact of implementing NICE recommendations, Parents of newborn babies and their families and carers. INTRODUCTION1 2. When exercising their judgement, professionals and practitioners are expected to take this guideline fully into account, alongside the individual needs, preferences and values of their patients or the people using their service. Jaundice (SBR >50 μmol /L) is one of the most common physical signs observed during the neonatal period. Is this a new … Objectives • Definition of jaundice • Metabolism of bilirubin • Types of jaundice • Causes of neonatal jaundices • Management of neonatal jaundice 3. Request infant's blood group and Coomb's test if mother's blood group is O. RISK FACTORS 2 3. Neonatal jaundice is a yellowish discoloration of the white part of the eyes and skin in a newborn baby due to high bilirubin levels. Phototherapy is the use of visible light to treat severe jaundice in the neonatal period. NICE interactive flowchart - Neonatal jaundice; Quality standard - Jaundice in newborn babies under 28 days; Next ; This guideline covers diagnosing and treating jaundice, which is caused by increased levels of bilirubin in the blood, in newborn babies (neonates). Then, fill in the bilirubin level field. Haemoglobin, WBC and differential, and reticulocytes if suspicion/evidence of haemolysis. Nothing in this guideline should be interpreted in a way that would be inconsistent with complying with those duties. Following a query to NICE about how the treatment threshold graphs for babies with jaundice should be used, please note: The graph that reflects the baby’s actual gestational age should continue to be used until the baby is 14 days old. It is not mandatory to apply the recommendations, and the guideline does not override the responsibility to make decisions appropriate to the circumstances of the individual, in consultation with them and their families and carers or guardian. This guideline applies to neonates within the first two weeks of life. Also see: • Jaundice Chart preterm chart 2011 Jaundice Chart preterm.xlsx • Jaundice Chart term chart 2011 Jaundice Chart term 2011.xls. Developed by the National Collaborating Centre for Women’s and Children’s Health . The body gets rid of bilirubin through the stool (poo) and urine (pee). Neonatology Guidelines The Neonatology Guidelines for NICU KEMH and NICU PCH are now on the Child and Adolescent Health Service website and be accessed by clicking the link below. It aims to help detect or prevent very high levels of bilirubin, which can be harmful if not treated. BiliTool is designed to help clinicians assess the risks toward the development of hyperbilirubinemia or "jaundice" in newborns over 35 weeks gestational age.

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