What is the bhutani nomogram?

The Bhutani Nomogram is used to determine the level of risk based on the Infant’s hours of age and serum bilirubin result.

What is normal bilirubin count?

Normal results for a total bilirubin test are 1.2 milligrams per deciliter (mg/dL) for adults and usually 1 mg/dL for those under 18. Normal results for direct bilirubin are generally 0.3 mg/dL. These results may vary slightly from laboratory to laboratory.

When should I start phototherapy?

Phototherapy should be instituted when the total serum bilirubin level is at or above 15 mg per dL (257 mol per L) in infants 25 to 48 hours old, 18 mg per dL (308 mol per L) in infants 49 to 72 hours old, and 20 mg per dL (342 mol per L) in infants older than 72 hours.

What is a bilirubin nomogram?

Neonatal Bilirubin Nomogram: A Tool to Facilitate Practical Application of AAP Guidelines for Management of Hyperbilirubinemia in Healthy Term Newborns.

What is Kramer’s rule jaundice?

Kramer’s rule indicates that neonatal jaundice begins from the newborn’s head, hence observation should be made from the face towards the feet as the level rises [8].

What happens if bilirubin is high?

If too much bilirubin is in your bloodstream it can cause jaundice, which can make your skin and eyes turn yellow. The results of the bilirubin test and signs of jaundice can help your doctor check your liver and determine if you have liver disease. A bilirubin test is also used to determine jaundice in newborns.

Why bilirubin is high in newborn?

Newborns produce more bilirubin than adults do because of greater production and faster breakdown of red blood cells in the first few days of life. Normally, the liver filters bilirubin from the bloodstream and releases it into the intestinal tract.

How do you reduce bilirubin in newborns?

Treatments to lower the level of bilirubin in your baby’s blood may include:

  1. Enhanced nutrition.
  2. Light therapy (phototherapy).
  3. Intravenous immunoglobulin (IVIg).
  4. Exchange transfusion.