INR 5.2 read as 2.5

Nurses General Nursing

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A tired 12 hour shift nurse mistakenly read and put in THE record an INR result of 5.2 as 2.5( read at the turned around anticoag machine).

The Doctor gave order to continue same dose and pt, who also was on levonax inj. Ended up bleeding to death/ICU NOW.

Big, but easly can happen mistake everyone can learn from.

Specializes in ICU, trauma.
It would be nice to hear back from OP to clear up so many questions.
Judging from his previous post i doubt he'll come back and reply. On another note, i once saw an INR of 16 :wideyed: (They ended up being OK after some FFP and vit k lol)
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Specializes in Oncology.
Judging from his previous post i doubt he'll come back and reply. On another note, i once saw an INR of 16 :wideyed: (They ended up being OK after some FFP and vit k lol)

They didn't end up dead in ICU?

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Specializes in Pediatric Critical Care.
They didn't end up dead in ICU?

Yes, but not NOW

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Specializes in NICU, ICU, PICU, Academia.

And now we're back to manually recording labs? Was the addressograph machine down? (You have to be over 40 to get it)

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Specializes in Pediatric Critical Care.
And now we're back to manually recording labs? Was the addressograph machine down? (You have to be over 40 to get it)

Not true! We used those things at my hospital all the way up to about 2009!

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Specializes in NICU, ICU, PICU, Academia.
Not true! We used those things at my hospital all the way up to about 2009!

Nothing quite like waking up the patients stuffing charts at night....

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Specializes in Cardiac/Tele.

Only 5.2? Psh. Call me when it's over 15! /snark

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Specializes in Oncology.
And now we're back to manually recording labs? Was the addressograph machine down? (You have to be over 40 to get it)

Or work at my hospital :unsure: No manual lab recording, though.

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They didn't end up dead in ICU?

I hear when there are pre-dead patients it makes for a quieter night lol! Then again turn and position all that dead weight, ha!

I think I'm too tired.

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Judging from his previous post i doubt he'll come back and reply. On another note, i once saw an INR of 16 :wideyed: (They ended up being OK after some FFP and vit k lol)

I think that was my patient!

Literally had to wrap his fingers to control bleeding from fs with very pronounced bleeding under his skin.

Treated in ED and released.

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Specializes in Psych (25 years), Medical (15 years).
Yes, but not NOW

I believe the patient was in ICU (Intensive Care Unit) for his NOW (Nice Open Wound).

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Specializes in ICU.

Why do people respond. If someone comes to allnurses just to ask a stupid question about something they did, a school assignment, or something someone else did IGNORE IT.

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