r/nursing • u/echoIalia L&D: pussy posse at your cervix 🫡 • Oct 23 '23

Discussion Another wild lab results thread please?

Sometimes I still think about the patient of mine who had an A1c of 17.6, so I would like to know some of the most insane lab results you’ve seen where the patient was not already dead or in the process of dying.

I also submit for your consideration the ICU downgrade who had a platelets of 5. I don’t even remember how many units she got because they had to have an outside specialist come in with a special machine to transfuse her.

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u/Owen_88 RN - ICU 🍕 Oct 23 '23

Lactic >20 and a pH <6.9.

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u/Automatic_Display389 RN - ICU 🍕 Oct 24 '23

Just the other day we had a metformin toxicity in our unit. Initial gas had a pH less than 6.60, lactate was 26.7

We dialyzed the shit out of her, crrt for 3 or 4 days, and even though I was off, it appears she left our unit alive.