What is the Highest Bilirubin you've ever seen?

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Just curious. :wink2:

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Specializes in NICU.

I believe it was around 27... it took 2 or 3 exchange transfusions to bring it down

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Specializes in NICU.

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.

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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.

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32 Was The Highest I Ever Saw. We Did A Double Exchange On That Child.

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Specializes in NICU, adult med-tele.

I think 28. It was a kid that was a few weeks old and had been home. Really sad.

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Specializes in ob; nicu.

27 on a baby that had already gone home on phototherapy. Ended up with IGG and a double exchange transfusion.

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Specializes in NICU, Infection Control.
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. :rolleyes:

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Specializes in Nurse Scientist-Research.

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.

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Specializes in PICU/NICU.

28........ yep.... double exchange!

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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!

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Specializes in Maternal - Child Health.

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.

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