PHOTOTHERAPY

 



OVERVIEW

    phototherapy is the use of light to reduce serum bilirubin levels in the newborn.

Adverse effects from treatment, such as eye damage, dehydration or sensory deprivation can occur.

INTERVENTIONS

  • Follow specific interventions for the phototherapy & biliblanket care.
  • Expose as much of the newborn's skin as possible.
  • Cover the genital area & monitor the genital area for skin irritation or breakdown.
  • Cover the newborn's eye with eye shields or patches; ensure that the eyelids are closed when shields or patches are applied.
  • Remove the shields or patches at least once per shift to inspect the eyes for infection or irritation & to allow for eye contact & bonding with the parents.
  • Monitor skin temperature closely
  • Measure the lamp energy out put to ensure efficacy of the treatment.
  • Increase fluid to compensate foe water loss.
  • Expect loose green stool.
  • Monitor newborn's skin color with the fluorescent light turned off, every 4 to 8 hours.
  • Monitor the skin for bronze baby syndrome, a grayish brown discoloration of the skin which is a complication of phototherapy.
  • Reposition the baby every two hours.

                                               


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