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Treatments for Jaundice



Treatments of Jaundice: Online Medical Books

16 MEDICAL BOOKS ONLINE! Review excerpts from medical books online, free, without registration, for more information about the treatments of Jaundice.

Jaundice: Treatment
(In a Page: Signs and Symptoms)

  • Discontinue and avoid potentially hepatotoxic medications
  • Supportive care for viral hepatitis
  • Rehydrate/refeed for Gilbert's syndrome
  • Consider steroids in fulminant alcoholic hepatitis
  • Cholecystectomy or ERCP with stone removal for obstructing gallstones
  • Treat underlying causes of hemolysis or other disorders
  • Antibiotics for cholangitis, sepsis
  • Hydroxyurea and folate for sickle cell disease, prevent crises by adequate hydration, vaccinating against diseases, and try to prevent other infections

READ BOOK EXCERPT ONLINE »

Jaundice in Infants – Direct: Treatment
(In A Page: Pediatric Signs and Symptoms)

  • Varies by specific disorder
  • General medication principles of cholestasis include
    –Promoting bile flow with ursodeoxycholic acid
    –Consider phenobarbital (increases bile excretion)
    –Fat-soluble vitamins including K, D, E
    –Vitamin A is a relative contraindication given hepatotoxicity at high levels
  • Consider formula with medium chain triglycerides as fat source (does not require bile acids to be absorbed)
  • Treat underlying disorder
    –Kasai portoenterostomy for biliary atresia
    –Surgical repair of choledochal cyst
    –Special formulas for tyrosinemia
    –Lactose free formula for galactosemia (e.g., soy based)
    –Remove toxic exposures
    –Treat infections
    –Treat hypothyroidism
  • READ BOOK EXCERPT ONLINE »

    Jaundice in Infants – Indirect: Treatment
    (In A Page: Pediatric Signs and Symptoms)

      • Treatment options vary based on level of bilirubin, age of presentation, and cause
        –Goal is prevent levels high enough to cause kernicterus
      • Phototherapy involves the use of photon energy to change the structure of bilirubin and permit excretion without glucuronidation
        –Decisions for use are age-based
        –Considered when serum level above 14 mg/dL
    • Exchange transfusion should be considered with serum levels above 25 mg/dL
    • IVF or breast-feed more frequently to increase volume
    • Correct endocrine abnormality
    • Improve perfusion if cardiac problem
    • Correct anatomic abnormality
    • Consider enteral binding agents
      –Cholestyramine, charcoal, calcium phosphate
    • Crigler-Najjar: Phenobarbital, may need liver transplantation

    READ BOOK EXCERPT ONLINE »

    Jaundice [Icterus]: Patient counseling
    (Professional Guide to Signs & Symptoms (Fifth Edition))

    Encourage the patient with a hepatic disorder to decrease his protein intake sharply and increase his intake of carbohydrates. If he has obstructive jaundice, encourage a nutritious, balanced diet (avoiding high-fat foods) and frequent small meals.

    READ BOOK EXCERPT ONLINE »

    Jaundice: Patient counseling
    (Signs & Symptoms: A 2-in-1 Reference for Nurses)

    Encourage the patient with a hepatic disorder to decrease his protein intake sharply and increase his intake of carbohydrates. If he has obstructive jaundice, encourage a nutritious, balanced diet (avoiding high-fat foods) and frequent small meals. Teach the patient ways to reduce pruritus.

    READ BOOK EXCERPT ONLINE »

    Jaundice [Icterus]: Nursing considerations
    (Nursing: Interpreting Signs and Symptoms)

    ▪ To decrease pruritus, frequently bathe the patient; apply an antipruritic lotion, such as calamine; and administer diphenhydramine or hydroxyzine.

    ▪ Prepare the patient for diagnostic tests to evaluate biliary and hepatic function, including laboratory studies (such as urine and fecal urobilinogen, serum bilirubin, liver enzyme, and cholesterol levels; prothrombin time; and a complete blood count), computed tomography, ultrasonography, cholangiography, liver biopsy, and exploratory laparotomy.

    Patient teaching

    ▪ Teach the patient appropriate dietary changes.

    ▪ Discuss ways to reduce pruritis.

    ▪ Review with the patient prescribed medications and their possible adverse effects.

    READ BOOK EXCERPT ONLINE »


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