Total Bilirubin (T. Billi) Lab Values

Overview Total bilirubin Normal Value Range Pathophysiology Special considerations Elevations in Total bilirubin Nursing Points General Normal values 0.1-1.2 mg/dL Patho Breakdown product of RBCs Specifically heme (iron portion of hemoglobin) Transported to liver Bound with bile Excreted via GI tract and kidneys Conjugated Water soluble Unconjugated Not able to excrete it Carried to liver via albumin Conjugated in liver Special Considerations Submit in green top tube Usually submitted with liver function tests Elevated Total Bilirubin Newborn jaundice Treated with phototherapy Liver tumors Liver disease Cirrhosis Hepatitis Alcoholism Cholecystitis Biliary obstruction Assessment Assess patients for jaundice or icterus, or changes in color of stool (clay colored) Therapeutic Management Phototherapy for newborns, as they are unable to properly breakdown bilirubin Treat primary cause of liver/gallbladder disease Nursing Concepts Lab Values Gastrointestinal/Liver Metabolism