Lowest H/H I ever saw...

Specialties CCU

Published

...was on a post gastric bypass reversal. Worked with her all night, vitals stable as a rock. Feelin' fine, SaO2 99% on room air, SR 78, BP 120's, tummy soft, minimal pain, minimal serosang drainage from RLQ Blake. A.M. H/H 5/15, repeated. Anyone else?

the lowest i have seen was

:specs:

2/12. Amazingly enough, I was working ER and noticed that the 8 month old brother of the ER patient looked way more ill (white as paper) than the sister that didn't even belong in the ER. Convinced the parents to check in the baby and found him to have the HH 2/12. He was starflighted to the nearest pedi ICU with a scalp vein (that I started) and blood infusing. Turns out that he was extremely malnourished. Parents had been diluting formula and so on. The ER doctor later said it was a good call as she hadn't even noticed the baby since she was focusing on the sister. Sometimes it pays to be aware of your surroundings. Needless to say CPS was involved on that one.

Had to take a GYN patient back to the OR a few months ago...H&H was 2 and 7. She lived - thank god she had no CAD.

Specializes in Med Surg, ER, OR.

i know this thread hasn;t been updated in a while, but I had a pt come in to the ER the other day after MVA vs tree. pt was a 26yo 9mo pregnant female who presented with unresponsiveness and soon was coded. After an emergent C/S and receiving 7 units of blood and 6 units of NS, her HGB was 1.3!!!!!!!!!!!!!

Specializes in Interventional Cardiology, MICU.

a waking and talking young adult Hbg 1.5 admit to ICU with no bleeds. going for bone Bx....

Specializes in ICU.

I received a 42yr old man from ER who had walked in c/o black stools for several days and feeling tired. Hgb of 2. He was more upset that he wasn't allowed OOB to the bathroom or allowed anything to eat than he was knowing that he could be dead. Turned out he was an alcoholic / GI bleed.

Lowest Hgb I ever saw was a 5.4. Pt was a GI bleed. Only symptom was some mild SOB.

Hgb 2.1/9.0. Pt who hadn't been to a doctor in 40 years walked into the ER secondary to weakness (I'll bet). Did a cardiac work up, had an EF of 10 - 15%. Infused with multiple PRBCs, diagnosed with suspected colon cancer. Just shows you how gradual anemia can be tolerated.

3.6/13

Specializes in Critical Care.

Many years ago i had a pt who had a HCT of 9!! Yes, the HCT!!! He was a jehovah witness and was refusing blood products. I can't remember what happened to him or what the scenario was.

+ Add a Comment