Dear All,
Please if any one has got any suggestion about our
high SODIUM case;
11 years old girl under went liver transplant on 25
June 2002 and then had bowel obstruction and multiple
clot in the bowel after she went to 7 Laparotomy
operation.
She had Acute renal failure (ARF), Melena, DIC,
infection with gm+ve, gm-ve, candida. Now she is on
Amph, Cipro, Amikacin, Mitronidazol.
She had hypertension since post operation with high
urea and creatinine, its contributed to be delayed
rated but later on her Central vein pressure (CVP) was
high normal.
Urine dipstick was -ve for ketone and not
concentrated.
She had diabetes insipidus 2 days after the operation.
Her last renal and liver function today 12 August
2002;
NA 170, K 3.8, urea 13, Creat 68, Ca 2.5, Alb 35, TBil
912, DBil 685, Mg 1.12, ALP 1984 (N Range 200-730
u/l), ALT 59 (N Range 2-40), AST 274 (N Range 2-37
u/l), ACE 67 ( N Range 7 -72).
Any idea will be appreciated
best regards
Mohmed Ashmaig
Biochemistry Depart.
Riyadh Military Hospital
Saudi Arabia
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