Phototherapy
Technique:
- 6-8 daylight tubes are mounted on a stand and all electrical outlets are well grounded.
- Baby is placed naked 45 cm away from the tube lights in a crib or incubator.
- Eyes are covered with eye-patches to prevent damage to the retina by the bright lights; gonads should also be covered
- Phototherapy is switched on
- Baby is turned every two hours or after each feed.
- Temperature is monitored every two to four hours.
- Optimal temperature 25 - 28 c.
- Weight is taken at least once a day.
- More frequent breastfeeding.
- Urine frequency is monitored daily.
- Serum bilirubin is monitored at least every 12 hours.
- Phototherapy is discontinued if two serum bilirubin values are < 10 mg/dl.
Side effects of photography:
•Increased insensible water loss: Frequent Breast feeding.
•Loose green stools: weight often and compensate with breast milk.
•Skin rashes: Harmless, no need to discontinue phototherapy.
•Bronze baby syndrome: occurs if baby has conjugated hyperbilirubinemia. If so, discontinue phototherapy.
•Hypo or hyperthermia: monitor temperature frequently.
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