HCT or HGB? Fish or Bullets?

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This topic contains 4 replies, has 2 voices, and was last updated by avatar April 2 years, 10 months ago.

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  • #46880

    My working hypothesis, which seems to have been holding true in most cases over the last 20 years, is that people that study East of the Mississippi River are interested in the patient’s HGB, while those who study West of the Mississippi River tend to use HCT. Do you find this to be true also?

    Any other geographical dependent trends you have noticed, such as the little plastic ampules filled with NS which RT use to loosen up lung butter are called “Fish” by people who went to school in a small city, while they are called “Bullets” by people who went to school in the big city.

    #47057
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    Van

    West of the Mississippi here, HGB. NS ampules look more like bullets then fish. I consider small city school.

    #47071
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    Tamara

    Only worked in Colorado and Texas, and we always transfuse based on HGB. The posted guidelines in the nurses station are now to transfuse if it drops below 7, or if they are below 8 and actively bleeding or symptomatic! 🙂

    #47083
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    Betsy

    West coast and we transfuse based on HGB. We call them pinkies. Never heard the bullet/fish thing and our RT was trained back east.

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