Exchange Transfusions In A Neonate With Jaundice- Indications and Complications

Exchange transfusion is performed if intensive phototherapy (what is phototherapy click here) has failed to reduce bilirubin levels to a safe range and if the risk of kernicterus exceeds the risk of the procedure or the infant has signs of kernicterus. Potential complications from exchange transfusion are not trivial and include acidosis, electrolyte abnormalities, hypoglycemia, thrombocytopenia, volume overload, arrhythmias, NEC, infection, graft vs host disease, and death. This widely accepted treatment is repeated if necessary to keep indirect bilirubin levels in a safe range.

•Various factors may affect the decision to perform an exchange transfusion in an individual patient. The appearance of clinical signs suggesting kernicterus is an indication for exchange transfusion at any level of serum bilirubin. A healthy full-term infant with physiologic or breast milk jaundice may tolerate a concentration slightly higher than 25 mg/dL with no apparent ill effect, whereas kernicterus may develop in a sick premature infant at a significantly lower level. A level approach that considered critical for the individual infant may be an indication for exchange transfusion during the 1st or second day of life when a further rise is anticipated, but not on the 4th day in term infants or on the 7th day in premature infants, when an imminent fall may be anticipated as the hepatic conjugating mechanism becomes more effective
Pharmacological Therapy Should be continued concomitantly.

Comments

Cryoglobulinemia, Cryoglobulinemia Causes, Symptoms & Treatment

Cryoglobulinemia causes Hep C Myeloma, Waldenstrom’s macroglobulinemia, SLE, Rheumatoid arthritis, Sjogren’s syndrome, Symptoms, Immunoglobulins precipitate when cooled under skin, ulcers, rashes, gangrene, Raynaud’s phenomenon. Treatment. Plasma exchange, Chemotherapy, Treat the cause.

Human Parasites, Types of Parasites, and Classification

Parasite: A parasite is a living organism which gets nutrition and protection from another organism where it lives. Parasites enter into the human body through mouth, skin and genitalia. In this article, we will generally discuss the types and classification of parasites. It is important from an academic point of view. Those parasites are harmful, which derives their nutrition and other benefits from the host and host get nothing in return but suffers from some injury. Types of Parasites Ecto-parasite: An ectoparasite lives outside on the surface of the body of the host. Endo-parasite: An endo-parasite lives inside the body of the host, it lives in the blood, tissues, body cavities, digestive tract or other organs. Temporary parasite: A temporary parasite visits its host for a short period of time. Permanent parasite: Permanent parasite lives its whole life in the host. Facultative parasite: A facultative parasite can live both independently and dependently. It lives in the...

IELTS or OET - Reviews - Personal Experience - Which to Choose - IETLS vs OET

OET and IELTS both are used to assess the knowledge of English Language. The basic difference between the above two is this, IETLS is a more generalized English language assessment test, on the other hand, OET is profession specific. For example, if you are a doctor, the content of the test will be related to your occupation. Because of this, the OET is being chosen by many healthcare professional instead of IELTS. Both tests have the same sub-categories, that is listening, speaking, writing and reading. Lets us discuss the differences one by one. TEST OET IELTS OET Compared to IELTS is ………. (Author’s opinion) Speaking You will need to do two role plays. You will be given a situation and asked to counsel the patient about a disease and treatment or break the bad news. It has 3 parts, first is an introduction and general question, In the second part you will be provided with a topic to speak for 2 minutes. In the 3rd part, you will b...

MedicoTips.Com

Search This Blog