jaundice

whats the difference of pathological and physiological jaundice of neonate? the nurse responsibility or intervention?

take out your nursing book and read it.

Hello CandE25, From what I can remember from school, physiologic jaundice occurs about 48 to 72 hours after the baby is born and is considered normal, pathological jaundice occurs immediately after birth (less than 24 hours) and should be reported because this could indicate hemolytic (destruction to the red blood cells) disease. As for as interventions a heel stick blood test may be ordered to determine how much bilirubin is in the blood. If it is high then the baby undergoes phototherapy. The baby only has on a diaper and you must cover the baby's eyes with a dressing to protect the retinas from the light. Monitor the vital signs especially temperature for hypothermia or hyperthermia. The baby is feed on a 3 hour schedule to help in the excretion of the bilirubin. Don't forget that the baby needs "bonding" which can be done during feedings, vital signs, etc. I hope this helps!:)

OK maam..thats the right thing to do,

I can tell you right now that whatever explanation or intervention you do for your patients need to researched based, backed up by primary sources, and Allnurses isn't considered one.

In the nursing school, they may not ask you to cite your sources, but in real life when you treating a patient you can't do it because someone in Allnurses told you. It's irresponsible, lazy, and most importantly DANGEROUS.

I have to admit that i'm reacting to you because one of my pet peeves is people asking allnurses to do their homework for them. If you had some work on your own and needed clarity and had questions, that's a different thing. It looks like you just quoted right out of your assignment. You may not care because you are in nursing school, it's tough and merciless, but have SOME thirst of knowledge yourself because you're going to take care of human beings who are going to trust you so much they allow you to inject an unknown substance into their veins.

Think about it. Please.

epiphany. . .just ask the moderators to have the post moved to the student forums if a question like this so enrages you. the students there monitor posters who continually ask for others to do their homework for them. it's easy enough to check previous posts to see what kind of threads a member has been generating and just not reply to or scold a student who seems to be asking others to do their schoolwork for them. some, it turns out, have just had poor writing skills in the way they compose their posts. sometimes you can tell from the way the question is asked that the student is from another country and that esl to them.

please tell me you didn't base your screen name on that horrible excuse of a nurse on general hospital. that character is one of the worst role models for an rn they ever planted on daytime tv with the way she yells and criticizes everyone including doctors and visitors. don't know what nursing school they imagined her from, but she would have flunked out long ago on her behavior alone.

um no, i've never seen general hospital. i can't decide whether you think i'm intentionally basing my personality on this character or an indirect way of attacking me, but i'll let your writing speak for itself.

the first paragraph makes sense to me. i was contacted by a moderator, and i agreed with her not to be so tough on students. there's a bit of me that thinks this is all about getting more readership on this blog, but she/he was still right about me. however, i do think that encouraging students to think for themselves and to ways to find answers to their questions is much better than feeding them because:

1. this is public forum where anyone can answer these questions. a psycho who wants to mess with student's heads would privately email the "answers" to her/him. it's not same but when a person asks for medical advise here, there's an element of danger is not totally different from asking advise on how to take care of patients.

2. teaching them how to find answers is actually the right way to prepare them. encouraging them to ask questions only if they have actually looked it up would be another.

so, your second paragraph aside, i concur with you and thank you for pointing out the nuances.