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Treatment recommendations will be based on the latest age Result is 1.8 mg/dl below phototherapy initiation threshold of 16.8 mg/dl • if no prior phototherapy and plan to discharge, measure tsb in 4 to 24 hours. Or, can enter just an age (with no bilirubin levels) to check what thresholds are at that age based on management of hyperbilirubinemia in the newborn infant 35 or more weeks of gestation, pediatrics 2004, 114:297
2022 aap hyperbilirubinemia management guidelines for newborns >= 35 weeks gestation Bilirubin 15 mg/dl at 72 hours age (35 weeks gestation with no neurotoxicity risk factors) • if measurement was a tcb, obtain a confirmatory tsb • phototherapy not needed Assess trends with multiple points on both original publication and easier to interpret custom plots.
Thresholds for phototherapy, escalation of care, and exchange transfusion difference between phototherapy threshold and last bilirubin measurement if no neurotoxicity risk factors
10 mg/dl is 7 mg/dl below treatment threshold if any neurotoxicity risk factors 10 mg/dl is 4 mg/dl below treatment threshold Calculator and clinical decision support for the aap 2022 guidelines for the management of hyperbilirubinemia in newborns 35 or more weeks of gestation. Bilirubin 10 mg/dl at 48 hours age (40 weeks gestation with presence of neurotoxicity risk factors) • phototherapy not needed
Result is 4 mg/dl below phototherapy initiation threshold of 14 mg/dl • if no prior phototherapy and plan to discharge, measure tsb or tcb in 1 to 2 days. Peditools 2022 bilirubin guidelines free api access the peditools 2022 aap hyperbilirubinemia guidelines clinical decision support tool can be called as an api endpoint, for automated access via, for example, an electronic health record. The hyperbilirubinemia management tool has been updated to be able to handle multiple bilirubin measurements at different ages, and plot all the points on the bhutani nomogram as well as on the aap recommended thresholds for phototherapy and exchange transfusion.
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