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What is the Highest Bilirubin you've ever seen?



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No. 30
Old Jun 27, 2009, 09:48 AM

Default Re: What is the Highest Bilirubin you've ever seen?
We had a 28 on a baby only 24 hours old. She had some weird endocrine disorder and it was still in the low 20's when we sent her home 3 weeks later. I think she's two now and on dialysis.
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No. 31
from sjc80
Old Jul 13, 2009, 03:06 PM

Default Re: What is the Highest Bilirubin you've ever seen?
How about the lowest? I had a baby who had a 0. On repeat she had a 1.

I don't even know what that means and I can't find any info about low neonatal bilirubin! Though there is info about low bili and coronary artery disease....... But I don't think that's a problem with a 3 day old!
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No. 32
from rn/writer
Old Jul 13, 2009, 03:37 PM

Default Re: What is the Highest Bilirubin you've ever seen?
I've had a number of kids register less than 1, all the way down to zero. I've always taken this to mean that their livers were up to the task of processing the discarded red blood cell byproducts. Never heard of any pathology associated with low bilirubin level in a newborn.
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No. 33
from Elvish
Old Jul 13, 2009, 04:22 PM

Default Re: What is the Highest Bilirubin you've ever seen?
Yep, me either. I've had several bilis come back 0, or less than 1. Nobody gets their knickers in a wad.
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No. 34
from barbnicu
Old Jul 13, 2009, 05:58 PM

Default Re: What is the Highest Bilirubin you've ever seen?
Same here, upper 20's, exchange transfusion; you know the drill. Did have an infant who just could not get the bili down, it stayed in the teens. Went home on Actigal. Another one who had that deep bronze color, found out she had CMV. But it was too late when we got all the tests back. Sad day.
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No. 35
from ScammRNC
Old Jul 22, 2009, 01:39 AM

Default Re: What is the Highest Bilirubin you've ever seen?
27 is the highest I have seen with a couple of exchange transfusions to bring it down.
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