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when are platelet levels dangerous?

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when are platelet levels dangerous?

Postby fancy19 » Wed Apr 16, 2008 08:26 am

by fancy19 (102 Posts), Wed Apr 16, 2008 08:26 am

My wife spent 3 days in the hospital over the weekend and was sent home on bed rest. She is 29 weeks now. Her platelets were at 108 *i think* and her enzymes were about double, around 70-75. She has a nurse comming everyday checking her BP, which is on average 130/80-85 from her normal 120/70. SHe is having her blood tested again tommorow(last test was monday morning). Anyway, she hasn't been diagnosed with PE or HELLP as of yet but she is very concerned about her blood not clotting in the future, whenever the baby will be born. She's also kind of convinced herself that it is comming really early (shes a worry wart btw). If anyone can give me any info on the platelet stuff or enzymes it would be appriciated.
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Re : when are platelet levels dangerous?

Postby me2wired » Wed Apr 16, 2008 09:40 am

by me2wired (24 Posts), Wed Apr 16, 2008 09:40 am

Well, my blood platelets were at 109 and the doctor was very clear that if they dropped below 100 they would immediately deliver the baby by c-section. They wouldn't let me leave the hospital, but I think they were taking a very conservative approach with me as my blood pressure was 170/110's + range. He also stated that if my blood platelets went below 100 they would then not be able to put in an epidural line and I'd have to go under general anesthesia to deliver the baby. Did she receive any steroid shots for the baby's lungs while in the hospital? These will boost your blood platelets for a few days.

Your normal blood platelet levels should be between 150-400k. Normal liver enzymes are at about 15-40, mine shot up to 740+ when they had to take the baby by emergency c-section. It took only 3 hours for all this to happen to me at 27 weeks along. I came out of the c-section with blood platelets in the 40k range and they weren't able to take out my epidural line for 3 days after the c-section as they weren't sure if I would clot.
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Re : when are platelet levels dangerous?

Postby fancy19 » Wed Apr 16, 2008 09:44 am

by fancy19 (102 Posts), Wed Apr 16, 2008 09:44 am

Nope, no steriods as of yet. I hope tommorows test looks good.
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Re : when are platelet levels dangerous?

Postby fancy19 » Wed Apr 16, 2008 10:28 am

by fancy19 (102 Posts), Wed Apr 16, 2008 10:28 am

me2wired...did you have to have the emergency section mainly b/c of the BP I assume?
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Re : when are platelet levels dangerous?

Postby me2wired » Wed Apr 16, 2008 02:59 pm

by me2wired (24 Posts), Wed Apr 16, 2008 02:59 pm

No, it was because of my liver enzymes. If they hit that high you run the risk of your liver rupturing or other damage to your liver. The pain associated with it is quite intense as well so that's why upper right quadrant pain or right shoulder pain with it is an indicator that something is happening. They had me maxed out on morphine, 2 shots of fenatyl and an epidural that didn't touch the pain. You can see a lot of posts just browsing through this forum on the pain that comes with it.

I'm very glad that they are monitoring and running the blood tests on your wife, she's in good hands. :) Blood pressure and protein in the urine aren't necessary for a diagnosis of HELLP syndrome. Since it's so close to pre-eclampsia I've been told that's why blood pressure can sometimes come into play.
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Re : when are platelet levels dangerous?

Postby fancy19 » Thu Apr 17, 2008 12:12 am

by fancy19 (102 Posts), Thu Apr 17, 2008 12:12 am

Just got back from the hospital for a check up....she scored a 8/8 on the stress test and her platlets are up to 123...woot! Looks like the bedrest is helping so far
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Re : when are platelet levels dangerous?

Postby ozierja » Thu Apr 24, 2008 08:53 am

by ozierja (584 Posts), Thu Apr 24, 2008 08:53 am

How is she doing? Just checking in...
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Re : when are platelet levels dangerous?

Postby fancy19 » Mon Apr 28, 2008 10:20 pm

by fancy19 (102 Posts), Mon Apr 28, 2008 10:20 pm

We'll....the same day as my last post above (last thursday, today being Monday)....she has been in the hospital again...since Friday 4am. She had the epi pain again which caused us to go back to the hospital and is still there. Her platelets have been as low as 88 over the weekend with them back at 98 over the last two days. Her BP has be up and down 75-90. It is alway around 90-05 with the pain but goes down to aroun 85 after the pain subsides. (It went away with T3 and she had it sat night as well) They did an ultrasound on all her organs today to rule out gallstones etc. The ultrasound came back clean and they can't really say what is causing her epi pain. SHe's had 3 flare ups( all happen in the night) over the last 2.5 weeks. We don't know if they are going to send her home on bedrest with homecare again or not....its kind of wierd since she has one of the smartest docs in the hospital.....The nurse tonight pretty much said that "it" will show itself between now and when she's due, so we are kind of nerveous that one day she will go full blown HeLLp or something and the baby will be born....things that go through my head are...when to start steroids ( if so), etc......I feel bad leaving her at the hospital last night b/c she thinks the pain could start again ( I stayed the last 3) but I have to work.
Any ideas??

edit: she's almost always neg for protien, sometimes trace.
her BP was X/90 twice today but average x/85
The doc also said that "maybe" she's just someone with these platelet levels and enzymes that are higher then normal.
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Re : when are platelet levels dangerous?

Postby ozierja » Tue Apr 29, 2008 08:07 am

by ozierja (584 Posts), Tue Apr 29, 2008 08:07 am

It sounds like she is stable but it really can change rapidly. I too did not have much protein but had high BP, low platelets and high liver enzymes. They bounced around a bunch for 5 days but when my platelets dropped to 50, they decided to deliver. I would go ahead and ask for the steriods it cannot hurt and is better to have them in for a few days, just in case.
I am sorry you all are going through this, it is tough. Please keep us updated when you can. I know we will all be thinking of you all.
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Re : when are platelet levels dangerous?

Postby fancy19 » Tue Apr 29, 2008 08:51 am

by fancy19 (102 Posts), Tue Apr 29, 2008 08:51 am

They didnt get her blood results back from this morning yet, but the doctor mentioned yesterday about possibly putting her back on homecare today if things look fine....As much as she doesn't want to sit in the hospital bed for weeks longer, I'm not sure it's wise to go home yet as we'll just have to come back if she has the pain again.....we do only live 10-15 min drive away as well....
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