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What extreme laboratory values can be obtained that (some) patients can survive with?
Janssens, Pim M W; Pot, Michiel W; Wouters, Moniek; Leeuwen, Henk J van; Borren, Marcel M G J van.
Afiliación
  • Janssens PMW; Department of Clinical Chemistry and Haematology, Rijnstate Hospital, Arnhem, The Netherlands.
  • Pot MW; Department of Clinical Chemistry and Haematology, Rijnstate Hospital, Arnhem, The Netherlands.
  • Wouters M; Physician in Training for Specialist Physician Pulmonary Diseases, Department of Pulmonary Diseases, Rijnstate Hospital, Arnhem, The Netherlands.
  • Leeuwen HJV; Physician Internal Medicine, Registered Intensive Care Specialist, Department of Intensive Care, Rijnstate Hospital, Arnhem, The Netherlands.
  • Borren MMGJV; Department of Clinical Chemistry and Haematology, Rijnstate Hospital, Arnhem, The Netherlands.
Scand J Clin Lab Invest ; 82(1): 50-57, 2022 Feb.
Article en En | MEDLINE | ID: mdl-34941478
OBJECTIVES: We wanted to have a more substantiated idea about the extreme values which are possible in patients not dying or being moribund. METHODS: for nine regular analytes the five most extreme results registered between 2014 and 2018 in our database were searched. Results had to have been confirmed by multiple analyses in different samples. Patients should have lived at least 28 days after the extreme analyte value was observed. Patient diagnoses and symptoms were checked to understand the pathology and apparent consequences of the extreme values. RESULTS: most extreme values (lowest and highest; mmol/L): sodium 100/178, potassium 1.2/9.8, chloride 58/138, total calcium 1.02/4.98, ionized calcium 0.37/2.44, magnesium 0.07/3.31, phosphate <0.1/7.3, pH <6.8/7.81, hemoglobin 1.3/14.9 in non-newborns; not determined/16.4 in newborns. CONCLUSION: All extreme values deviated 7 s.d. or more from the means. Patients obviously can survive rather deviant analyte values.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Calcio / Magnesio Límite: Humans / Newborn Idioma: En Revista: Scand J Clin Lab Invest Año: 2022 Tipo del documento: Article País de afiliación: Países Bajos Pais de publicación: Reino Unido
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Calcio / Magnesio Límite: Humans / Newborn Idioma: En Revista: Scand J Clin Lab Invest Año: 2022 Tipo del documento: Article País de afiliación: Países Bajos Pais de publicación: Reino Unido