Now THAT'S a lab result

ixchel · Jun 24, 2015

13 month old with a heart rate per EKG of 345 beats per minute. Digiitized, sent to cardiac, had undiagnoses cardiac issues resulting in corrective surgery. Baby is great now!

Holy crap! What was the rhythm? SVT?

kskarzin91 · Jun 25, 2015

Hgb 6.2 because of a menstrual cycle that lasted 8wks. + alert ambulatory just felt sick at work and came in. Two units given ugh came up to 8.4. Lesson learned: I will never complain about aunt flow again.

volskoya · Jun 25, 2015

Hgb 3.5, Survived... (NO Transfusion) :yes:

rose to a Hgb 7 after 15 days in ICU with TPN... survived... (No Transfusion) :yes:

Went on to walk into second semester of an accelerated MSN-CNL program 1.5-weeks after released from ICU... Survived that too, :up:

in order to write this post 5 months later

If anyone wants the details:

(All from a botched laparoscopic surgery at the beginning of December that resulted in 5 additional surgeries...a 15 day ICU stay... collapsed lower lobes of lungs... 6 abdominal abscesses and numerous other issues... Clinicals + class + healing = 1 tired nursing student!)

No Stars In My Eyes · Jun 25, 2015

Hgb 6.2 because of a menstrual cycle that lasted 8wks.

OOOPPPHHH! *shudder*

No Stars In My Eyes · Jun 25, 2015

Hgb 3.5, Survived... (NO Transfusion)
rose to a Hgb 7 after 15 days in ICU with TPN... survived... (No Transfusion)
Went on to walk into second semester of an accelerated MSN-CNL program 1.5-weeks after released from ICU... Survived that too,
in order to write this post 5 months later
If anyone wants the details:
(All from a botched laparoscopic surgery at the beginning of December that resulted in 5 additional surgeries...a 15 day ICU stay... collapsed lower lobes of lungs... 6 abdominal abscesses and numerous other issues... Clinicals + class + healing = 1 tired nursing student!)

Ye Gods! Talk about an ordeal!!!! So glad you are still around to tell about it! And kudos to you for dealing with all that followed, plus school; don't know that I could have done it.....

calivianya, BSN, RN · Jun 25, 2015

I had a patient who came in with a core temp of 86 - legit, through several sources (bladder, rectal, oral, axillary all tried, all said something similar). I would say the patient was fine, but he was a really severe brain damaged CP adult who couldn't regulate his own body temperature at baseline anyway. Let's just say he wasn't any worse for having dropped into the 80s.

SMARN · Jun 25, 2015

Troponin 40.9. Alive.

Hgb 1.9, hct 4.6, platelets 23. Alive, c/o "feeling weak". Lab called to confirm labs weren't drawn above an IV site getting fluids bc the results were "incompatible with life".

SMARN · Jun 25, 2015

I forgot - K+

Bobjohnny · Jun 25, 2015

Eh, nothing super impressive.

Hgb 2.7

Tons of WBC 50

Glucose of 1400 Alive

Glucose of 17 Alive

pH 6.71 Alive, dead, Alive for a couple months and then dead

Anion gap of 32 Alive

K+ 9.0 Alive then dead and then alive. Was kind of funny lab called and says "We've got a critical lab result, but we don't think it's right because it's incompatible with life."

BAL 565 Alive(last I knew) - Wife said he hadn't drank in about 5 hours. He started withdrawing on us with his BAL still above 300. I'm sure that didn't turn out well.

One of our veteran Nurse Practitioners claims to have seen a BAL of 1018 once.

I think thats about it. The guy with that pH was a chronic respiratory failure guy that I remember seeing intubated about 8 times in my first 6 months in ED. I remember one of the local squads bringing him in after he called for being short of breath and he was self administering a breathing treatment (read: smoking a cigarette) upon their arrival. With a pulse ox of 48%. When he got to us in the ED he'd already had 5mg of Albuterol and was feeling great at 72% with a good waveform.

Elvish, BSN, DNP, RN, NP · Jun 25, 2015

When he got to us in the ED he'd already had 5mg of Albuterol and was feeling great at 72% with a good waveform.

Probably didn't live a great deal higher than 72 on a good day anyway. COPDers amaze me sometimes. Ditto preemies, and for much the same reason.

Bobjohnny · Jun 26, 2015

Probably didn't live a great deal higher than 72 on a good day anyway. COPDers amaze me sometimes. Ditto preemies, and for much the same reason.

I'm sure he probably didn't. The only time I ever saw him higher than about 80% was when he was intubated. Thing that always amazed me was that he would always come in absolutely caked in dirt. We would actually even bathe this guy in the ED, take to ICU and they'd bathe him again and the water would still turn black.

AZQuik · Jun 26, 2015

WBC .1 febrile 40C, alive but going into hypotensive septic shock.

BSN GCU 2014.

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