Jaundice
Definition
Yellowish tinge to skin and whites of eyes
Pathophysiology
Decreased hepatocyte transport/conjugation
Impaired delivery of bilirubin to intestine
Increased production of bilirubin
Impaired excretion of bilirubin
Clinical manifestations
Flu-like symptoms
yellowish skin and whites of eyes
Abdominal pain
Vomiting and nausea
Chills
itching skin
Fevrer
Causes
Metabolic defects
Certain medicines
Autoimmune disorders
Gall stones
Alcohol
Gall bladder cancer
Viruses eg. Hepatitis A,B,C
Pancreatic tumour
Diagnostic tests
Ultrasound and MRI
Biopsy
Blood tests
Physical exam
Cholescintigraphy
Pharmacology
Antibiotics
Blood transfusions
Diuretics
Steroids
Lactulose
Nursing intervention
Maintaining fluids
Place in bilirubin lights as needed
Monitoring serum bilirubin levels
Provide emotional support to patient/parents
Diet therapy
Consume fruits and vegetables
Consume high fibre foods
Consume lots of water/ herbal tea
Consume foods with digestive enzyemes,eg.honey