What is the Highest Bilirubin you've ever seen? | allnurses

What is the Highest Bilirubin you've ever seen?

  1. 0 Just curious. :wink2:
  2. 45 Comments so far...

  3. Visit  Sweeper933 profile page
    0
    I believe it was around 27... it took 2 or 3 exchange transfusions to bring it down
  4. Visit  elizabells profile page
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    My highest was somewhere in the high 20s too. My first double-volume exchange transfusion, done with an intern who spent the ENTIRE three hours ******** about how much he hated having to do a NICU rotation. Ahhh, memories.
  5. Visit  Preemienurse23 profile page
    0
    I've only seen about 21, but I've only been there about 1.5years. We have had 2 exchanges, but they were on nights, so I did not get to actually see them.
  6. Visit  NANSNURSE profile page
    0
    32 Was The Highest I Ever Saw. We Did A Double Exchange On That Child.
  7. Visit  UTVOL3 profile page
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    I think 28. It was a kid that was a few weeks old and had been home. Really sad.
  8. Visit  littlepeach profile page
    0
    27 on a baby that had already gone home on phototherapy. Ended up with IGG and a double exchange transfusion.
  9. Visit  prmenrs profile page
    0
    Quote from elizabells
    My highest was somewhere in the high 20s too. My first double-volume exchange transfusion, done with an intern who spent the ENTIRE three hours ******** about how much he hated having to do a NICU rotation. Ahhh, memories.
    Sounds like a really charming fellow.
  10. Visit  TiffyRN profile page
    0
    I don't remember the exact number cause I never took care of the child myself, but I remember it was one of our little ones, no more than 1000 grams. His Bili stayed in the 20's for many weeks.

    And it was almost all the Direct (or conjugated) bili. I'm not sure we every figured out exactly what was wrong with his liver but we all knew something was bad wrong with it. I did go see him and he had that same bronzy gold color your old gut kids get who are on TPN forever.
  11. Visit  PICNICRN profile page
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    28........ yep.... double exchange!
  12. Visit  NICUDreamer11 profile page
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    Just curious...

    What is a normal bilirubin level?

    I'm not a NICU nurse, I'm just a pre-nursing student who hopes to be one after I graduate and I love learning so many interesting things from this forum!
  13. Visit  Jolie profile page
    0
    Mid 30's on a "well baby" who had been DC'd home then readmitted.

    Based on physical exam and neuromuscular abnormalities, we believe the child had kernicterus.

    Very sad.
  14. Visit  ilstu99 profile page
    0
    So far - 26. My favorite resource RN had a transfer admit who was at 34.

    I don't want to even imagine!

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