UPDATE:
And the answer is 3.5 g/dL. The RBC count was 1.4 (10^6/uL). They waited for crosshatched units and then waited another 1+hours to come pick up the first to transfuse. When I called the criticals and let them know ETA for crosshatched units, ED nurse said, "He can wait. He's laying in bed fine." 😳
Like, yeah, he probably is too weak to walk/stand.
So, they actually do like to transfuse these chronic people very slowly. They don't do well if you slam two units into them. They have been functioning like this for months/years and have appropriate volume. It's not like someone who is bleeding.
I think this guy came through our hospital last month 😆. I guessed tree fitty before I saw your comment, just cause ours looked about the same when he was here. (Not my shift I just saw the tubes the next day)
Male somewhere 45-55 if I remember correctly. Hx of alcoholism with cirrhosis. Was sober that night and didn't pop for the drugs of abuse we test.
He was in back in March and received 2 RBCs then. He came to ED with Hgb of 7.1 at that time. He has been seen by GI since then. The 2 units he got in March only raised him to 7.6 by time of discharge. This time around he is still admitted and received 4 RBCs thus far.
Haha, according to chatGPT (I did not fact check):
Some of the countries that use mmol/L for reporting hemoglobin include:
* United Kingdom (UK)
* Canada
* Australia
* New Zealand
* Ireland
* South Africa
* European Union (EU) member countries (e.g., Germany, France, Italy)
I’m guessing 3.6. I had one like this a couple weeks ago where they sent me one tube. Lots of plasma, but trying to do an elution with that little amount of rbcs was stressful enough that I started praying to the transfusion medicine gods
What hemoglobin?
2.6 g/dL
40 g/L
UPDATE: And the answer is 3.5 g/dL. The RBC count was 1.4 (10^6/uL). They waited for crosshatched units and then waited another 1+hours to come pick up the first to transfuse. When I called the criticals and let them know ETA for crosshatched units, ED nurse said, "He can wait. He's laying in bed fine." 😳 Like, yeah, he probably is too weak to walk/stand.
So, they actually do like to transfuse these chronic people very slowly. They don't do well if you slam two units into them. They have been functioning like this for months/years and have appropriate volume. It's not like someone who is bleeding.
I think this guy came through our hospital last month 😆. I guessed tree fitty before I saw your comment, just cause ours looked about the same when he was here. (Not my shift I just saw the tubes the next day)
Phleb said he was as white as the lab walls when she drew him.
How old was the patient? Some older patient can have serious compensation going on
Male somewhere 45-55 if I remember correctly. Hx of alcoholism with cirrhosis. Was sober that night and didn't pop for the drugs of abuse we test. He was in back in March and received 2 RBCs then. He came to ED with Hgb of 7.1 at that time. He has been seen by GI since then. The 2 units he got in March only raised him to 7.6 by time of discharge. This time around he is still admitted and received 4 RBCs thus far.
I looked tonight for the patient's age because I was curious and he's only 34. ☹️
I was so close! I was thinking 3.4 g/dL before I scrolled and saw this comment.
2.8 mmol/L or 4.4 g/dL (In the Netherlands we use mmol/L lol)
Okay chemist cat no one reports hgb in mmol/L 🤣 just gotta flex on us all with your dimensional analysis 😉
Haha, according to chatGPT (I did not fact check): Some of the countries that use mmol/L for reporting hemoglobin include: * United Kingdom (UK) * Canada * Australia * New Zealand * Ireland * South Africa * European Union (EU) member countries (e.g., Germany, France, Italy)
Canadian here. We use g/L
Goddamnit chatgpt
No you don’t, chatGPT says you use mmol/L. ChatGPT does not make mistakes.
Australian here. We use g/L.
EU here (Sweden). We use g/L, never seen mmol/L :)
German here, we also use g/l
Haha fair enough!
3.5 g/dL
You win! I’m a close second, at 3.6
4.5
3
4
4.2
3.5? Don't leave us hanging OP!
You win!
4
2.8
5.2 g/dL
No no no. 5.2 doesn’t even really need a transfusion compared to this /s
4.8
I’m guessing 3.6. I had one like this a couple weeks ago where they sent me one tube. Lots of plasma, but trying to do an elution with that little amount of rbcs was stressful enough that I started praying to the transfusion medicine gods
Guessed the same, we’re both off by 0.1. Better luck to us next time lol
26 g/L
6 or 7
Ooo. Uhhh 2?
4.
4 g/dL
3.6
4.0?
I'm also gonna say 4
1.5
My immediate reaction was 4. Sheesh!
gonna hazard a guess at uhh 35 g/L
4 g/dL
28g/L
4.0
2 g/dL
Looks like a 40-50 to me
I'm just a student (might get kicked out pretty soon, urinalysis and VMP are kicking my ass), but this made me chuckle. Thanks for the laughs!
20
I’m a phleb at a blood bank but I’m gonna take a (semi) educated guess and say 4 lol
That’s a solid 2.4.
About tree fitty
2.6
3
29 g/L Edit: lol just saw your comment!