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How many times baby should pass the urine during phototherapy?

How many times baby should pass the urine during phototherapy? Correct Answer 4-6 times/day

Concept:-

  • Phototherapy: it has been used since 1958 for the treatment of neonatal hyperbilirubinemia.
  • It causes unconjugated bilirubin to be mobilized from the skin by structural isomerization to a water-soluble form that can be excreted in the urine.
    • The baby should pass 4-6 times urine/ day.
  • The aim of phototherapy is to decrease the level of unconjugated bilirubin in order to prevent acute bilirubin encephalopathy and hearing loss.

Phototherapy techniques:

  • Perform hand wash
  • Place baby naked in cradle or incubator.
  • fix eye shades and genital area.
  • Keep baby at least 45 cm from lights, if using closer monitor temperature of the baby.
  • Start phototherapy.
  • Frequent extra breastfeeding every 2 hourly.
  • Turn baby after each feed.
  • Temperature record 2 to 4 hourly.
  • Weight record daily.
  • Monitor urine frequency.
  • Monitor bilirubin level.

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