Monday, July 23, 2018

My Acute Renal Failure Episode

UPDATE 23 July:(recovering)
In a nutshell...
Fell over
Sore knee +++
NSAID ++
?Staph cellulitis culture and aspirations negative
Admission to ER obs
24 hrs fluclox IV (renal status not yet checked)
Vomiting started but went home
36 hrs vomiting nil oral dehydrated
Readmit IV rehydration
Uhoh! Creatinine 450!!
Oliguric ATN
Renal U/S normal
eGFR 6! (Was 90 in January)
Creatinine peaks at 750 almost dialysed
Hypertension 190/110
Sinus Bradycardia HR30 monitored in CCU
Improved a bit, but caught severe cold ?flu
Deteriorated clinically can’t eat
Labs improving
Cold settling
22/07 feeling a bit better and eating a little (looking like Thai cave boy after no food for 12 days).
eGFR 15 (20% of normal)
Now: able to do a few emails, walk 100m, reading a book. Updating this blog.
😢🤮😬🥓🍳🥞🤞

23/07 

04/08 eGFR up to 35, Urea and Creatinine 2x normal.  Regaining strength.