Published
INR >100. Alive.
Skip details, just lab & living or dead.
And another for heme/onc friends:Methotrexate 48h = 11. Alive. But not enough leucovorin in the world to keep them alive.
We had a recent pt who went into kidney failure after methotrexate and is taking forever to clear. 24 hour level was 64 something. Couldn't put that one on the chart! 300 of leucovorin every 6h.
And alive. Finally under 1 weeks later.
I see there was a higher one posted above, but saw >6500 triglycerides! Shocked me. The patient was aware of it, and had these little fatty deposits all over his body under the skin which he attributed to it?
Also working part time in oncology what I would have considered a grossly abnormal cbc looks a little different now
Oncology has clearly desensitized me to abnormal lab results. I see platelet counts in the single digits all the time- many times drawn at home. The family is called and told to come in the next day for transfusion but to go to the ER if the patient starts to bleed. Platelets are not transfused until
Highest WBC count I've seen in newly diagnosed or relapsed leukemia was >500K. Also once saw a kid with an Hgb 1.9 and platelet level of 3 at diagnosis. His poor mother had been bringing him to the MD for weeks saying something was wrong and was brushed off. When they finally drew labs? Bam, ALL.
Oh'Ello, BSN, RN
226 Posts
No idea.... was getting HyperCVAD at an outlying facility. Came to us because of poor mtx clearance, amongst other things.