Please enable JavaScript.
Coggle requires JavaScript to display documents.
Diagnosis - Coggle Diagram
Diagnosis
Findings from physical examination
yellow discolouration at neonate's skin
current vital sign
Temp.: 37.2 degree Celsius
HR: 127 - 130 beats per minute
RR:28 - 40 breath per minute
SPO2: 99% - 100 %
Pain Score: 0 (FLACC scale)
light coloured stool
Management plans: treatment and outcome
phototherapy (single photo) with both eyes covered
to lower the bilirubin level through photo-oxidation
check for serum bilirubin every morning
to check for effectiveness of phototherapy
Review of normal system
Degradation of erythrocyte
About erythrocyte
consist mainly haemoglobin
7-8 micrometers
to transport O2 from lung to body tissue
to transport CO2 from body tissue to lung
live up to 120 days
cell worn out
removed by macrophage
Globin :
broken down into amino acid
sent back to bone marrow for production of erythrocyte
Heme (Iron)
stored in liver @ spleen
to be used later for production of erythrocyte
:star: non-iron heme
converted to biliverdin
green pigment
further converted to bilirubin
bind with albumin
travels in blood through liver
1 more item...
albumin produced in the liver
yellow pigment
Review of disease condition
Neonatal Jaundice
cell worn out
greater production and faster breakdown of red blood cell in the first few day of life
removed by macrophage
non-iron heme
converted into biliverdin
futher converted into bilirubin
bind with albumin
travels in blood through liver
1 more item...
Diagnostic investigation, laboratory test and others
serum bilirubin = 11.2 mg/dL