Year: 2022
Type: article
Study design: Case Report
Abstract: function tests were as follows: total bilirubin of 1.34 mg/dL, AST 20 U/L, ALT 14 U/L, albumin 3.4 gm/dL, alkaline phosphatase of 50 U/L, gammaglutamate transferase 7 U/L, INR of 0.90.Urine routine showed a specific gravity of 1.010, traces of glucose, 3-5 WBCs/HPF, no casts, and no bacteria detected.Her ABG showed severe metabolic acidosis with lactate levels of 7.8 mmol/L.She was resuscitated with crystalloids.ABG analysis after resuscitation showed an increase in lactate levels to 9.1 mmol/L, a base deficit of 25 mmol/L, and bicarbonate level of 4.6 mmol/L.In view of increasing lactate levels and respiratory distress, she was initiated on mechanical ventilation.The patient did not produce any urine after fluid resuscitation.The patient was initiated on hemodialysis immediately.Acidosis was corrected with dialysis, and the patient improved symptomatically within 12 hours.She was extubated the next day.She underwent three more cycles of dialysis; her kidney function improved.She did not require further hemodialysis.She was discharged after 5 days.Her renal function tests, and ABG values are tabulated in Table 2.
Institution: Fortis Hospital
Language: English
Topic: Acute Kidney Injury Research
Subfield: Nephrology
Field: Medicine
Domain: Health Sciences
Open Access status: diamond
OpenAlex ID: W4312302425