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

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 »

Buy Products Related to Treatments for Jaundice