What is the lowest HGB you have seen?

[I<3H2O]

What is the lowest HGB you have seen on a pt. that is still alert, talking, upright, who exhibits no active bleeding?

LOL we had a little old lady present to the ER with "weakness" and her HGB was 3.2! I've not seen one that low before.

[0.adamantite]

5.6 was the lowest I've seen.

[Lennonninja, MSN, APRN, NP]

Once I got an admit to the ICU who presented with a pH of 6.8 and a Hgb of 1. They survived!! Only one night on the vent, and quite a bit of blood products.

[HikingEDRN, BSN, RN]

3.6 or somewhere in that neighborhood. Guy had cancer with mets and had had multiple surgeries and complications. All of this was done at another hospital. So when he felt bad after his latest surgery, he came to us (no records, none of his doctors were there) because he didn't want to go back there. I don't think patients realize how doing that can really compromise and delay care. I understand that when your h&h is that low you might be thinking the clearest but he had family with him. We sent him to our ICU and I believe he was transferred after getting blood. He was gray.

[Morainey, BSN, RN]

My friend said she was a 2 after delivering twins. On the floor I haven't seen anything lower than 6. Not very impressive.

[HyperSaurus, RN, BSN]

5.1, young gentleman. Honestly can't remember much about him anymore other than he displayed no signs of distress beyond mild fatigue, was AxO x3, and the docs were adamant against transfusing, suspecting a hemolytic process.

Oh, I do believe I had a lady in the 4s once, she was put on comfort measures for a beyond active GI bleed, she passed that same night.

[ArtClassRN, ADN, RN]

4.0 on a patient being discharged after adamantly refusing transfusions. His family eventually knocked some sense into his fool head and he was transfused on a return trip later in the week.

[TU RN, DNP, CRNA]

Bump.

This isn't so much for the lowest Hb, but such a significant drop. I had a post-op patient with a drop from 11.5-5.2.

EBL was 300mL. There was a complication where the patient's ureter was knicked, but the urine draining from the Foley had cleared overnight. The one JP had put out ~60cc serosanguinous and the dressing from the surgical site was fine. He was given 4L LR intraoperatively, 1.75L NSS via continuous infusion overnight, and I did draw the blood from the arm receiving the fluids, but such a significant drop can't be from hemodilution alone can it?

[Christy1019, ASN, RN]

Bump.

This isn't so much for the lowest Hb, but such a significant drop. I had a post-op patient with a drop from 11.5-5.2.

EBL was 300mL. There was a complication where the patient's ureter was knicked, but the urine draining from the Foley had cleared overnight. The one JP had put out ~60cc serosanguinous and the dressing from the surgical site was fine. He was given 4L LR intraoperatively, 1.75L NSS via continuous infusion overnight, and I did draw the blood from the arm receiving the fluids, but such a significant drop can't be from hemodilution alone can it?

Actually I have seen similarly drastic drops from hemodilution but not just because it was drawn from the same arm as it was related to the total amount of fluids they had recently been given...

[That Guy, BSN, RN, EMT-B]

3.0/9.0

Came in not feeling right. Bought them an admit

[nrsang97, BSN, RN]

The lowest I have seen was in the 5-5.5 range. Young woman with fibroids.

[cjdmomma]

I just got out of nursing school, so my experience is limited, but I had a patient, post hyst whose Hgb was at a 6. My instructor was all panicked, barking out orders to even the floor nurses to get her ready for blood. The doc came by and was all "meh... she is usually low," and took off. Pt was fine... no blood given. instructor didn't win any points with the nurses on the floor.

[A~L~B]

I had a Jehovah's patient for 3 days straight who died on Christmas Day last year. He had a lower GI bleed with hgb 3.1. We coded him for 45 minutes. I tried to get a DNR before he went. No way to save him when we are only circulating 0.9% NACL.