DrKumar Ravi hi docs i have a case of great dane who hao acute renal failour with b/t reports of last week as tlc-4800, n-20 l-80 blood platlets-1.20 lack serum creat-4 bun 120 vomitting off feed. after treatment with iv fluids, conciplex, rantac, lasix, enrocin to combat sec bac infection as its a viral origin of renal failour. n...ow he start taking food little bit no vomitting. today i repeat the blood test s.creat rise to 5.1 tlc 4200 l-75 n-20 blood plat- 80000. what should i do im totally confused . i recheck the samples but results r same
Ajitesh Kumar
dr i dont know whether its a case of acute renal failure of viral origin or not. acute renal failure is a rare condition. and viral origin is still rare. if it is acute then the onset will be sudden,with olig uria or anuria mostly. reason could be poisoning, nephrotoxic drug, leptospirosis etc.whether there was polydipsia/polyurea, what was the hb ... See Morelevel? what was the temperature?urinalysis would have been a good option. u can see the specific gravity of urine, casts,pus cells etc . it can be prerenal azotemia also.
as per the reports which we have ie platelet count 1.2 lakh and then 80000. leptospirosis can be the cause.
treatment options will be fortified procaine penicillin, lasix,rantac,emeset/ondans
dextrose, and amino acid solution (astymin)should also be given. blood test after 3 days again to see the parameters i.e creatinine and bun. if it does not come down then prognosis is very poor.then peritoneal dialysis can be tried.
as per the reports which we have ie platelet count 1.2 lakh and then 80000. leptospirosis can be the cause.
treatment options will be fortified procaine penicillin, lasix,rantac,emeset/ondans
dextrose, and amino acid solution (astymin)should also be given. blood test after 3 days again to see the parameters i.e creatinine and bun. if it does not come down then prognosis is very poor.then peritoneal dialysis can be tried.
Yesterday at 23:16 · Report
Ajitesh Kumar
and every 3rd day vitamin k injection to take care of bleeding due to low plate count
Yesterday at 23:17 · Report
Gagan Gaudi
if possible get it checked for tick borne diseases
6 hours ago · Report
Saurabh Saxena
go for ultrasound immed. and check shape ,size and consistency of kidney ,liver in particular and other vital organs.
5 hours ago · Report
Amardeep Singh
i agree Dr gagan
3 hours ago · Report
Swarupmay Majumdar
There is drug called AZODYL ( gut acting pre+probiotics which reduce Ammonia production in gut ) on TID orally can reduce Sr Creatn level drastically. stop enrofloxacin as it is excreted through kidney, use omeprazole alt days with sucralfate for saving GI tract. Use phosphate binders tab phostat675mg bid po. use herbal liver tonics for appetite.
... See Moredo not stop fluid. use RL 500ml 2 bottles + D25 2 bottles. check for sr protein ,if below 5 go for iv Aminoacid supplements, its not contraindicated. some people uses envas tabs to see that there is bettre perfusion in kidney. can use this too and its very safe.
Make a chart of all drugs, tell clearly how and when to give which medications. need more details ?
one more thing, this may be a case of just renal failure post meloxicam pain therapy!! low TLC is not always indicative of viral renal failure.am I wrong?
... See Moredo not stop fluid. use RL 500ml 2 bottles + D25 2 bottles. check for sr protein ,if below 5 go for iv Aminoacid supplements, its not contraindicated. some people uses envas tabs to see that there is bettre perfusion in kidney. can use this too and its very safe.
Make a chart of all drugs, tell clearly how and when to give which medications. need more details ?
one more thing, this may be a case of just renal failure post meloxicam pain therapy!! low TLC is not always indicative of viral renal failure.am I wrong?
3 hours ago ·
Amardeep Singh
thanx SM
2 hours ago · Report
Ajitesh Kumar
i have never heard abt viral renal failure. i think renal failure due to tick fever is also unlikely
about an hour ago · Report
No comments:
Post a Comment