36 weeks and creat increasing
From: MNudel@aol.com
Thu Mar 28 17:45:21 1996
30 yo G2P1 familiy practice patient at 36 weeks gestation by good dates and
early ultrasound. First pregnancy uncomplicated. At bedrest over past 2
weeks for slightly elevated BP's 130's over low 90's. No proteinuria. No
headache. Normal urine output. No swelling. NST reactive. Ultrasound
appropriate size with normal AFI and BPP 8/8. Labs 2 weeks ago normal with
creatinine of 0.8. Labs repeated today with creat 1.3. Platelets 145K.
SGOT 42. Cervix 2/50 and 0 station. Referred for "induction".
I prefer to repeat creatinine and get 24 hour urine for creatinine clearance.
Anybody wanting to deliver at 36 weeks based solely on DBP in the 90's and
an elevated creatinine?
Interested in others management plans. What to do if the creat clearance is
low?
Thanks
Mitch Nudelman
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