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robert.hiester

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  1. Hi, I am a new nurse with a question regarding Hemoglobin and Hematocrit values. I know normal Hemoglobin value is 13-18 for a man and 12-16 for a woman. I also know that normal Hematocrit is 42-52% for a man and 35-47% for a woman. I also know that often patients are below those normal ranges for a variety of reasons (GI bleed, post surgical, anemic, etc). My question is this: Does anyone have specific low-end thresholds for when they become concerned and/or call the attending MD? I was recently working with a GI bleed patient (female) who was hanging out around 29 and 8. Is that concerning for you? How about a H&H that is dropping over time? How fast of a downward trend sets off alarm bells for you? I realize there are many diverse patient issues which could change your interpretation of H&H, but any advice you could give would be great. Thanks.

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