If significantly above the treatment line consider possibility of requiring exchange transfusion.(Refer to Phototherapy – Neonatal Guidelines). Admit for phototherapy if bilirubin level is over the line as per the graph.Consider d/c if well and bloods normalĮarly consult with paediatric gastroenterologist F/up GP in 1 to 2 daysįeeding support/fluid replacement. Table 1: Overview of initial investigations and management of neonatal jaundice Unwell neonateĪdmission and early consult with neonatesĬonsider discharge if well and bloods normal. +/- Glucose-6-phosphate-dehydrogenase deficiency (G6PD).+ / - Thyroid Function Test (TFT) (check if infant has had normal neonatal screening).Full Blood Count (FBC) (add reticulocyte count if anaemic).Blood group and Direct Coombs if not previously done.Serum Bilirubin (SBR) conjugated and unconjugated.Refer to Jaundice – Neonatology Guideline Very difficult to assess level of jaundice by eye alone.
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