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Re: 36 weeks and creat increasingFrom: R. Daniel Braun (rBraun@IUNET.IUPUI.EDU)Fri Mar 29 04:53:45 1996
I wouldn't induce this patient based on the info reported here. I would get a creatinine clearance only as a secondary test while obtaining a 24 hour quantitative protein. This would be to help document the presence of toxemia so I could justify keeping her on bedrest in the hospital(should she indeed have proteinuria). In the last 2-3 years, I remember an article showing that there are many patient who have as high as 3 grams of proteinuria on a 24 hour specimen but were negative on random samples. A serum creatinine of 0.8 is at the upper end of normal in our lab.
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