Total Bilirubin (T. Billi) Lab Values
May 17, 2023•3 min
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Episode description
Overview
- Total bilirubin
- Normal Value Range
- Pathophysiology
- Special considerations
- Elevations in Total bilirubin
- 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
- Breakdown product of RBCs
- 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
- Newborn jaundice
- Assess patients for jaundice or icterus, or changes in color of stool (clay colored)
- Phototherapy for newborns, as they are unable to properly breakdown bilirubin
- Treat primary cause of liver/gallbladder disease
- Lab Values
- Gastrointestinal/Liver Metabolism
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