Re: Preeclampsia Lab Package

From: Braun, R. Daniel (rbraun@iupui.edu)
Sat Jun 27 21:28:57 1998


Why do you want the SGOT and Creatinine??? You already said you don't know why you get the fibrinogen so why get it?????? I still say there is nothing that will change my management if the CBC with platelets is normal. The treatment of pre-eclampsia with or without HELLP is delivery. Dan

-----Original Message----- From: garrys@mindspring.com To: Multiple recipients of list Sent: 6/26/98 10:21 PM Subject: Re: Preeclampsia Lab Package

At Fri, 26 Jun 1998, Braun, R. Daniel wrote: >
>Why do we persist in obtaining all these useless labs on our patients
>who are pre-eclamptic?? Do we really need to get liver functions and
>uric acids on the 17 Y/O who presents at 39 weeks with a BP of 140/90
>and 3+ proteinuria??

One of our hospitals has a "DIC" panel (or maybe they did, until HCFA hit), and the nurses always wanted to draw one.

Dan, I largely agree, but I kind of like to get an SGOT and a creatinine, as well as the ubiquitous CBC; once you order those 2 chems, you might as well get the panel or whatever thye're offering. I get fibrinogens, too, and I'm not sure why. I don't get PT/PTTs, but sure do see them ordered a lot.

Garry

--
Garry E. Siegel, M.D., FACOG
Private Practice
Roswell, Ga.




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