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neonatology paediatrics

Neonatal Jaundice — Bhutani Nomogram Risk

Assesses risk zone of neonatal bilirubin level based on age in hours. Guides phototherapy and exchange transfusion decisions per NICE/AAP.

Score interpretation

Low zone / Low-intermediate zone

→ Routine monitoring; repeat bilirubin in 12-24h; encourage feeding; reassess at discharge

High-intermediate or near phototherapy threshold

→ Plot on treatment threshold chart; start phototherapy if at/above threshold; check blood group, DAT, FBC

High zone or risk factors present

→ Urgent phototherapy; check G6PD, reticulocytes; consider exchange transfusion if rising rapidly; neonatology review

Interpretation bands for the Neonatal Bilirubin Risk. Apply clinical judgement and local guidance.

References

Related

Curated clinical cross-links plus same-class fallbacks.

Decision support only — verify against a current formulary, NICE, or your local guideline before clinical use.