Categories
Paediatrics

Neonatal Jaundice (NNJ)

Last Updated on December 25, 2022

Introduction / Definition

Risk Stratification – Low Risk, Medium Risk, High Risk

Investigations

Treatment Options

Phototherapy Level & Exchange Transfusion Level

Prolonged jaundice

Take Home Messages

1. Physiological jaundice is a diagnosis of exclusion
2. Whenever there is a NNJ, the underlying cause should be sought and documented in case note
3. It’s important to stratify the risks correctly to prevent missed phototherapy
4. When TCB is higher than photo level, you can document the plan to start phototherapy, and don’t forget to inform the nurse
5. TCB of more than 200 μmol/L is not reliable, and requires TSB stat to confirm the bilirubin level, but you can still start phototherapy if TCB higher than photo-level

References
1. Paediatric protocol (4th ed)

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