Now THAT'S a lab result

KatieMI, BSN, MSN, RN · Nov 24, 2015

HbA1C 17.4, had to be sent to an outside lab for re-test.

The same >650 lbs creature received 75 units of NovolinR plus tripled sliding scale before meals, plus 100 units Lantus q12h, with blood sugar never below 250. When it once fell at 190 or so, there were symptoms of hypoglycemia.

Very much alive, not sure for how long, though. List of Dx/conditions covering better part of standard A4.

kalycat, BSN, RN · Nov 24, 2015

Katie: WOWZA

Trilldayz,RN BSN · Nov 25, 2015

This thread is hilarious

LadyFree28, BSN, LPN, RN · Nov 25, 2015

Pt in DKA with Glucose of 1000 and ph 6.2; pt was a 7 yo who came in initially with change in mental status; parent thought pt was depressed; upon further assessment, parent reported that pt started peeing on themselves, and just thought they were regressing.

KatieMI, BSN, MSN, RN · Nov 25, 2015

Katie: WOWZA

Yeah. Three times a day look at EMAR, then to syringe, then to EMAR again, and think "what the heck I' m gonna do - to kill that guy?" Nope, he gets it and happily plows his way through TWO meal trays at once - 6 carbs plus everything else which is not carb. Plus a couple supersizes from McDonald's a day brought by loving family. All that while being quite an amiable fellow with sense of humor and main idea of life that "I'm already suffering as it is, so why should I suffer even more from abstaining from things I just love to eat".

Lev, MSN, RN, NP · Dec 8, 2015

CO2 level 240. Alive. And woke up too with vent rate setting of 30.

CountryMomma, ASN, RN · Dec 8, 2015

Lipase of 2350. Main s/s was a spiking fever of 102 - 103 and 3/10 stomach pain. Unknown disposition.

Troponin of 9.1. Biggest complaint was hunger and fatigue.

Coldsvt · Dec 9, 2015

Same pt. Abg ph 6.85, K+ 7.0. alive when she arrived via ambulance

Went from tachy to vtach to asystole in about 3 seconds

Was alive and off to OR 5 mins later with several broken ribs

ak2190 · Dec 12, 2015

HGB of 1.6. Young woman who came in walkie talkie with major complaint of feeling "a little weak". O_O

She was discharged home (alive) a few days later after many units of blood.

Bobjohnny · Dec 12, 2015

Lactic Acid of 43.6. Alive, as far as I know.

His glucose was also 19, our suspcion is that he was that low for a few days. Then he started anaerobically metabolizing. Can't prove it, of course, but sounds right. He wasn't hypotensive, tachycardic or tachypneic.

turnforthenurse, MSN, NP · Dec 13, 2015

Hgb 2.9. Alive and talking to me and only c/o dizziness/weakness.

kalycat, BSN, RN · Dec 15, 2015

pH 6.25. Dead....after a prolonged, very messy, code.