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I had a pt. go from 9 to 13, can that be? Usually it seems to go up only by about 2. Has anyone seen big jumps like this after a transfusion? We are taught in school that for each unit of blood you get an increase of 1 Hgb and 3% Hct. So, according to my school, your pt should have gone from 9 Hgb to 11 Hgb. However, as is almost always the case, what I've learned in school doesn't always bear up under actual field experience.
The BUN level of 26 is much higher than the normal range. The main causes of an increase in BUN are: high protein diet, decrease in Glomerular Filtration Rate (GFR) which implies kidney damage, low blood volume (hypovolemia), congestive heart failure, gastrointestinal hemorrhage, fever and increased catabolism.