Jump to content

Onc pt: critical lows to critical highs in one wk


Moorlady
 Share

Recommended Posts

Hello, new MLT here.  Does anyone have a physiological explanation for an oncology patient who went from critically low WBCs and PLTs to critically high WBCs and PLTs in one week.  Patient redrawn to rule out labeling error.  Experienced tech. said she had seen this critically low-to-critically high phenomenon once before in her career.

Link to comment
Share on other sites


A chemo patient will often have a suppressed bone marrow.  When the neutrophil count gets real low, they often will give the patient a drug like Neupogen to boost the count.  I do not think I have ever seen one go so high as to become critical, however.

 

Scott

Link to comment
Share on other sites

It's probably good to remember that everyone's critical highs and lows are different based on practice preferences. At the oncology practice where I work, the critical low WBC is 1.0 K/uL and the high is 100 K/uL. I can say that I've never seen this phenomenon, neupogen or not.

Link to comment
Share on other sites

Create an account or sign in to comment

You need to be a member in order to leave a comment

Create an account

Sign up for a new account in our community. It's easy!

Register a new account

Sign in

Already have an account? Sign in here.

Sign In Now
 Share

  • Advertisement

×
×
  • Create New...

Important Information

We have placed cookies on your device to help make this website better. You can adjust your cookie settings, otherwise we'll assume you're okay to continue.