Question
The neonatal jaundice continues to rise rapidly, and the bilirubin level has reached 460 on the third day after birth. After excluding existing causes of jaundice, blood exchange therapy was adopted. However, anemia occurred after the blood exchange. How should this be addressed?
Answer
Hello! If a neonate’s bilirubin level reaches 460 on the third day after birth, regardless of the cause, the primary task is to quickly reduce the bilirubin to a safe level, hence the choice of blood exchange therapy. In cases of anemia that occur after blood exchange, consider administering small amounts of red blood cells in stages to quickly correct the anemia. At the same time, wait to determine the cause of the disease and treat it accordingly. These suggestions are for the treatment of “rapidly rising neonatal jaundice,” and I hope they are helpful to you. Wishing you health!