method for dealing with a low creatinine level

[bad virus]

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So I have a patient w/ a critically low creatinine level (0.2).

She is a fairly petite preggo 35 y/o

I was thinking a direct enalapril injection into the renal arteries. I could have IR do this but was thinking that I could do it my self by ultra sound guidance. That and a creatine shake should do the trick right?

Anyway, stupidity aside, what sort of lab valuses have tripped you up during 3rd year or whenever? Labomas are my favorite diseases.

 

[jdh71]

So I have a patient w/ a critically low creatinine level (0.2).

She is a fairly petite preggo 35 y/o

I was thinking a direct enalapril injection into the renal arteries. I could have IR do this but was thinking that I could do it my self by ultra sound guidance. That and a creatine shake should do the trick right?

Anyway, stupidity aside, what sort of lab valuses have tripped you up during 3rd year or whenever? Labomas are my favorite diseases.

 

[bad virus]

Serious as the dook protocol or a heart attack dawg.

Anyway, I was just wanting to see what stupid things tripped up others during 3rd year like fasting inpatient glucose at 149 and overthinking it.

 

[myhandsarecold]

So I have a patient w/ a critically low creatinine level (0.2).

She is a fairly petite preggo 35 y/o

I was thinking a direct enalapril injection into the renal arteries. I could have IR do this but was thinking that I could do it my self by ultra sound guidance. That and a creatine shake should do the trick right?

Anyway, stupidity aside, what sort of lab valuses have tripped you up during 3rd year or whenever? Labomas are my favorite diseases.

heh, you need to repeat 3rd year

 

[da8s0859q]

So I have a patient w/ a critically low creatinine level (0.2).

She is a fairly petite preggo 35 y/o

I was thinking a direct enalapril injection into the renal arteries. I could have IR do this but was thinking that I could do it my self by ultra sound guidance. That and a creatine shake should do the trick right?

Enalapril into the renals, then a bunch of whatever NSAID you think has the coolest name, then cookies and ice cream until she becomes diabetic. Also, give her 200mg of lupus. Then contrast CT the **** out of her.

 

[QuizzicalApe]

Consult the lab to find out what your institution's most cost effective agent to induce kidney failure is. Remember to see if the patient's insurance covers it. If they don't, don't even bother unless you just want to kidney punch her a few times without billing but that's sort of a threat to the bottom line. It's usually not worth calling the company to argue the matter, they can be pretty stubborn on this issue

 

[bad virus]

So I love the NSAID/Diabetes protocol but this is a communiversity not Beth Israel DMC. That's why I like the way this poster is thinking. Sine the nurses are salary anyway, I'll just have her run q-hour theraputic flank round houses. Too bad contrast is so expensive.

 

[bad virus]

BTW, I hear residency in the carrabean's is quite the bees knees. Can't wait to apply.

 

[ArcGurren]

Not sure whether to crack up with this thread or be very afraid

 

[bad virus]

Not sure whether to crack up with this thread or be very afraid

Be Scurred, Be very Scurred Dawg . . .

 

[jcu]

Also, give her 200mg of lupus.

 

[sportsperson]

OP which island are you doing your MD at?

 

[Morsetlis]

OP which island are you doing your MD at?

Lupus is too expensive to be injected at will here.

 

[bad virus]

OP which island are you doing your MD at?

Your mom!

I actually laughed out loud at how stupid this poster was for not being able to detect that a post was made in jest.

Unless, you were actually playing along and I am the ******ed one for not catching it, which is totally possible.

Also, does an island school actually indicate inferiority? If so, please feel free to use the pelvic exam lube to slide your head out of you know where.

 

[DrSnips]

If she is petite, then clearly her muscle mass is too low to produce sufficient creatinine. Have her take plenty of PO creatine and begin a weight training regimen. Also, you should start intra-uterine weight training for the fetus in case this is hereditary.