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Thursday, July 31, 2014
Newborn and Infant Care
High bilirubin levels
my grand daughters belirubin levels keep going up. She is 5 days old and they are 13 now. they were 8 at 2 days. The doctor says not to worry but she has had other problems and is in the nicu. her RDW was high but i dont know what that is. she was turning blue 1 to 2 hrs after eating and her white blood cell bands where high what is the highest level you would go before phototherapy?
Your answer is not a direct one. How concerning or not concerning a bilirubin level is depends on the age of the child, when the levels started to rise, and when they peak. In general, bili lights are used for a level of around 20, but there are exceptions. The NICU staff will closely monitor all of your granddaughter's laboratory values as well as her respiratory status.
Sarah Sauntry, RN, MS, CPNP-PC
Assistant Professor of Clinical Nursing
College of Nursing
University of Cincinnati