Out for Blood: Neonatal Hematology Review - FANNP

FANNP 23RD NATIONAL NNP SYMPOSIUM: CLINICAL UPDATE AND REVIEW4. Thrombocytopenia is defined as:a. A platelet count < 150,000b. A hemoglobin < 15 mg/dLc. A platelet count < 100,0005. A 32 week A positive infant born to an O positive mother who is 36 hours old and has a risingbilirubin > 5 mg/dL/day. The infant is NPO for treatment of a PDA with ibuprofen lysine and isreceiving aminophylline. What are you concerned about?a. Nothing, this is physiologic jaundiceb. Unbound bilirubin due to medications competing with albumin binding sites and ABOincompatibilityc. Thrombocytopenia and kernicterusReferencesBagwell, G.A. (2007). Hematologic system. In C. Kenner and J.W. Lott (Eds.), Comprehensive neonatal nursing: A physiologicperspective (4th ed., pp. 221-253). Philadelphia: Saunders.Blackburn, S.T. (2007). Maternal, fetal, & neonatal physiology: A clinical perspective (3rd ed.). St. Louis: Elsevier Saunders.Brodsky, D. & Martin, C. (2003). Neonatology review. Philadelphia: Hanley & Belfus.Cloherty, J.P., Eichenwald, E.C. & Stark, A.R. (2004). Manual of neonatal care (5th ed.). Philadelphia: Lippincott Williams & Wilkins.Diehl-Jones, W. & Fraser Askin, D. (2010). Hematologic disorders. In M.T. Verklan and M. Walden (Eds.). Core curriculum forneonatal intensive care nursing (4rd ed., pp. 666-693). St. Louis: Elsevier Saunders.Gleason, C.A. (2005). Hematologic system and disorders of bilirubin metabolism. In H.W. Taeusch, R.A. Ballard & C.A. Gleason(Eds.), Avery’s diseases of the newborn (8th ed., pp. 1135-1256). Philadelphia: Elsevier Saunders.Gomella, T.L. (2009). Neonatology: Management, procedures, on-call problems, diseases, and drugs (6th ed.). New York: Lange.Merenstein, G.B. & Gardner, S.L. (2006). Handbook of neonatal intensive care (6th ed.). St. Louis: Mosby.Sheth, S. (2007). Hematology. In R.A. Polin and A.R. Spitzer (Eds.). Fetal and neonatal secrets (2nd ed.). Philadelphia: MosbyElsevier.Watson, R.L. (2004). Gastrointestinal disorders. In M.T. Verklan and M. Walden (Eds.), Core curriculum for neonatal intensive carenursing (3rd ed., pp. 685-697). St. Louis: Elsevier Saunders,Zenk, K.E. (2003). Neonatal medication and nutrition: A comprehensive guide (3rd ed.). Santa Rosa, CA: NICU INK.Session OutlineSee handout on following pages.B14: NEONATAL HEMATOLOGY REVIEW Page 2 of 22