What is the lowest HGB you have seen?

Nurses General Nursing

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Specializes in Home Health.

What is the lowest HGB you have seen on a pt. that is still alert, talking, upright, who exhibits no active bleeding?

LOL we had a little old lady present to the ER with "weakness" and her HGB was 3.2!:eek: I've not seen one that low before.

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I would have an urge have that lab redone (and crossed and matched)

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Specializes in Community, OB, Nursery.

3.4 - and declined blood products.

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Specializes in Oncology, LTC.

3- in the ER. Was a cirrhosis patient. Doc wanted to throw an NG down, and my preceptor and I threw that order out the window.

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Specializes in Peds and PICU.

I had a 14 month old with sickle cell who came in with a hgb of 4.7. Poor thing, she was sitting in the crib and literally fell asleep sitting straight up! One unit of blood and BAM! She was all over the place! Its amazing what happens when you can effectively deliver oxygen!

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Specializes in Oncology.

4 and lived, 2.8 and died.

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Specializes in ER, ICU.
3- in the ER. Was a cirrhosis patient. Doc wanted to throw an NG down, and my preceptor and I threw that order out the window.

Still laughing...

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Specializes in Trauma/Tele/Surgery/SICU.

4.0 hgb in a 62 year old gentleman with all other labs normal exept hgb/hct(Drawn twice for verification). Completely asymptomatic, came in with a complaint of numbness in his toes and was admitted for the hgb. He was very upset that we were making such a fuss about the hemoglobin he kept telling me "my blood aint bothering me whatcha gonna do about my toes." It still makes me chuckle thinking about him. Finally got him to consent to 3 units.

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Specializes in Telemetry/Cardiac Floor.

4.0 and didn't get blood products, got IV iron and EPO. Survived.

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1 - in a two month old! Like nothing i've ever seen before, docs did an art stick on him and his blood came out like kool aid. Lab was calling us saying there was something wrong with the sample but it was the baby! Poor thing was trying to correct his body so badly too, his pH was 6.8 and he had a CO2 of 10! Was gasping and retracting like crazy even intubated, eventually had to heavily sedate him to take over his breathing and correct his acidosis, he got more blood products than i've ever seen go into a baby at one time to. And he lived!

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3.1. We gave blood (on the floor!!!!) and she lived. Was feeling a bit weak prior to passing out, which is what brought her in.

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Specializes in Cath Lab/ ICU.

2 but pt was symptomatic, Jehovah's witness, died.

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