Now THAT'S a lab result

Published

INR >100. Alive.

Skip details, just lab & living or dead.

Specializes in Assistant Professor, Nephrology, Internal Medicine.

A friend of mine shared an INR of 84

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pt they wanted to start CRRT on with an ammonia of 285!!!

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Recently had a patient with a lactate of 12, confused but walking and talking. Vital signs normal except a low grade fever. Was still alive in ER when I finished my shift.

Also had a Hb of 0.6 that was being discharged back to a community hospital because it had improved. Refusing blood products on religious grounds. Again, walking and talking.

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Troponin of 243.

I kid you not.

Alive when transferred to another hospital.

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Specializes in CVICU CCRN.

BNP 4900. Alive....but rapidly declining.

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Specializes in NICU, Cardiac.

Blood glucose (serum) on a term IDM- 3. Mom was refusing formula. Baby got a huge d10 bolus. Lived and went home 2 weeks later.

Ph 6.73 on a 23 weeker that they could barely intubate bc his airway was so narrow. Died 4 hours later.

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Specializes in NICU, Cardiac.

Another one:

3 year old in peds CVICU- Na 190. Lived.

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Lipase of 16,000. Normal is 23-85. Diagnosis was pancreatitis obviously.

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Specializes in CVOR, CVICU/CTICU, CCRN-CMC-CSC.

Just had a Troponin the other day of 309. Now stable. Poor kid's not even 40.

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Specializes in Urology.

I have had lots of crazy values in my time in the ER. I hold the record for several!

Lowest Platelet count = 0. Patient had throbocytopenia from a reaction to augmentin. Came in with bruises all over, no idea why. Well I think we know!

Highest Blood Alcohol Level >1.0. Psych patient admitted numerous times with drinking hand sanitizer (yep, the purel on your hands). I left my shift and came in the next day and she was still in the ER. She was waiting on placement to an external facility and during her wait came out and asked for a pencil and crossword puzzle. This was now around 12 noon and she pulled the curtain and jimmied open the hand sanitizer on the wall, the concentrated ones in the dispensers. She stabbed the bag and drank the whole thing. Its 180 proof. The nurse passed by to check on her and found her foaming at the mouth barely breathing. She promptly got tubed, nearly died from lack of 02 binding from alcohol displacement. Our machines couldnt measure a BAC over than 1 so we just got the result >1. She was transferred out a few weeks later, and I left the ER for PACU about a year after that, not sure what happened to her.

Lowest Lipase = 0, beat that!

Brain Natriuretic Peptide > 8000

Glucose 1681, alive, multi visists per week, not in DKA!

Ph

Ive had such a wacky ER career but I wouldnt trade the experience for anything.

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Specializes in Family Nurse Practitioner.

Troponin 47.3. Alive.

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BNP 49,000. Arrived in resp failure d/t pneumonia, placed to hospice and sent to the palliative unit.

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