Now THAT'S a lab result

[emtb2rn]

INR >100. Alive.

Skip details, just lab & living or dead.

[lemonstolemonade]

I've got a new record. Temp 107.9 (42.2) rectal alive and not seizing![/quote']

Wow! Didn't know that was possible

[BostonFNP, APRN]

TSH of 41. Alive.

I will raise you my TSH of 144 from last week.

[Elvish, BSN, DNP, RN, NP]

Had a toddler breathing over 100 breaths per minute. I don't remember what his underlying chronic condition was, but his nurse counted it, and asked me to count it. We counted for a full minute, had the charge nurse and RT come in and verify the same. When we called the intensivist, she said it wasn't possible to breathe that fast. Well, I am here to tell you that it is!

Have seen newborns with RR over 100. One was a bad meconium aspiration - vented for over a week, and the other was TTNB, if you can believe it. Kid fixed himself in about an hour and was absolutely fine for the rest of his hospital stay.

[calivianya, BSN, RN]

Worth resurrecting...

Just got called a lactic acid of 41.9 last week. Patient did not live.

[calivianya, BSN, RN]

Oh, and Na+ 177. Four hours after a Na+ of 134.

That's when it really hit home to me that an amp of bicarb is SODIUM bicarb and if you push 40 amps of bicarb the patient is going to have a sodium problem.

We have an intensivist who really likes to push lots of bicarb if the pH is crazy low and the patient's BP responds positively to bicarb... I've learned to ask him for frequent BMPs if we're going to be pushing that kind of bicarb.

[Lev, MSN, RN, NP]

Recently had a little old lady with a temp of 90.1 (32.12).

[ICUSkeenRN]

Rhabdo!!

[Gampopa]

Some recent lab results from 3 different pts:

K Less than 1.5 Pt with renal tubular acidosis; a FF and once the K get gets above 2.5 he feels better and leaves.

BG 1780 A1C 12.5 K 6.5 pt with hx T1DM and non compliant. Still has toes and feet but can't feel them.

BAL .43 which is kind of baseline for pt.

[nurseee24, ADN, BSN, RN]

Some of these results are just incredible. I'm a new nurse and I still get a little nervous about anything more than a just a little bit out of the norm. lol

[PixieRN1]

26 week premie. Pt. went from perfectly fine to starting to rapidly look edematous and had a newly boggy fontanel. Initial lab was HcT of 30 (don't remember the HCT) and the ABG was okay except for a CO2 of 60 (which isn't considered terrible for a micropremie; goal CO2s are 45-55). We gave blood and put her on Bubble CPAP.

Less than 30 minutes later the baby had severe respiratory failure; Sats rapidly went from the 90's to the 20's, repeated the ABG and HCT was 10 and ph was 6.6 and CO2 was 120. Intubated her and blood poured out of her ETT. Her fontanel also became massive.

She died of a Grade IV IVH and pulmonary hemorrhage an additional 30 minutes later.

Time from looking fine to dead was about 1 hour.

[Dd04321]

My mom had an MI with a troponin of 75, acute heart failure post MI with EF of 20-25%. She is alive and now has a normal EF that she has had since 3 months after the MI. She's the same way she was before, follows up with cardiologist twice a year, and is now off of her Plavix.

I've seen a troponin >200 in a STEMI pt. Lived for a few months but died later on due to unrelated reason.

[Ben_Dover]

Should I be concerned about this:

103 year old great great great granny, alive and flirting!!!