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neonatal hyperbilirubinemia

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good day

i want to ask about what types of fluids (dextose vs saline) to be given during phototherapy? and how much increments you give ?

thanx

It depends on the etiology of the hyperbilirubinemia, for instance, Hyperbilirubinemia secondary to breast feeding, (I mean dehydation W/O hypernatremia) you may need to give a bolus or two of NS and then 1.5 maintenance of IVF over the next 24 hrs of D10 1/4 NS hrs depending on the dehydration degree) ..but Hyperbilirubinemia secondary to Blood group icompatibitlity has really nothing to do with the given fluid unless you need to keep infant NPO for exchange or spme..

If you can give us more specific question, the answer might be more oriented!

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