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Nursing Care Plan Regarding PKU Testing Worksheet

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Genetics

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Macy Berkson
Genetics & Genomics
Deliverable 6
07-06-2020
Nursing Care Plan Regarding PKU Testing
What is PKU
Testing
What Happens
with (+) Result
Nursing Care/
Education if
(+)
Interprofessional
Resources
Facilitation of
Referrals
Phenylketonuria
(PKU) is a test
that is
completed on all
newborns as
part of the
newborn
screening
process. This is
done as a blood
test 24-72 hours
after birth to
check the
phenylalanine
(Phe) levels in
the body
(Phenylketonuria
(PKU) Screening:
MedlinePlus
Medical Test,
2020). A heel
stick is
performed on
the baby to
collect said
blood sample.
A positive PKU
result indicates
that there is too
much Phe in the
blood. The body
is preventing the
breakdown of
Phe (the part of
proteins that is
found in some
foods and
aspartame). The
baby will need
lifetime diet
modification,
beginning with
special PKU
formula, mom
can still breast
feed in
moderation
(Phenylketonuria
(PKU) Screening:
MedlinePlus
Medical Test,
2020).
Education to
family and
patient when
old enough
on avoiding
foods which
include but
are not
limited to:
milk, eggs,
cheese,
chicken, beef,
pork, fish,
aspartame,
and grains.
Educational
information
should be
provided that
a side effect
of PKU is
convulsions
and patient
should be
monitored for
new onset
(Belleza,
2018).
Registered
Dietitian: A RD
would be part of
the team
because their
diet would have
to be managed,
especially an
infant the RD will
determine how
much breastmilk
to PKU formula
ratio the infant
may have.
Neurologist: A
neurologist
would be
onboard for
monitoring the
condition as
some S/S may
include seizures,
tremors, tight
muscles,
increased
reflexes, or
involuntary
movements
(Atwall, 2019).
National PKU
Alliance: A
national nonprofit
organize that
unites adults and
families.
Children’s PKU
Network: A
nonprofit
organization that
aids individuals
and families with
PKU through
public awareness,
education, and
assistance to help
individuals reach
their full potential
(Phenylketonuria,
n.d.).
National PKU
News: Provides
links to news
resources and
diagnostic testing
information
(Phenylketonuria,
n.d.).

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Genetic
Counselor: Can
answer
questions
regarding how
PKU is inherited,
choices/
preparation for
any future
pregnancies, and
how other family
members may be
tested. They are
a reliable
resource for any
questions you
may have (Amino
Acid Disorder,
2020).

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Macy Berkson Genetics & Genomics Deliverable 6 07-06-2020 Nursing Care Plan Regarding PKU Testing What is PKU Testing What Happens with (+) Result Nursing Care/ Education if (+) Phenylketonuria A positive PKU Education to (PKU) is a test result indicates family and that is that there is too patient when completed on all much Phe in the old enough newborns as blood. The body on avoiding part of the is preventing the foods which newborn breakdown of include but screening Phe (the part of are not process. This is proteins that is limited to: done as a blood found in some milk, eggs, test 24-72 hours foods and cheese, after birth to aspartame). The chicken, beef, check the baby will need pork, fish, phenylalanine lifetime diet aspartame, (Phe) levels in modification, and grains. the body beginning with Educational (Phenylketonuria special PKU information (PKU) Screening: formula, mom shoul ...
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I was struggling with this subject, and this helped me a ton!

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