Question on Protein Lab Values

Not NEAR enough info by far.

IF they are concerned, ("high risk" on this one protein test alone?)----they need to do a 24-hour urine to be sure and capture a real portrait of her "protein-spilling" problem. Also, there are other things to consider like , her serial blood pressures, (does she have a hx of high blood pressure either during or before pregnancy?), possibly needing liver enzymes/profile and platelet counts, and also maybe d-dimer tests to do. Also what is her kidney function like? Was it a concern before pregnancy? Is she diabetic? So much to consider.. But to answer your question, yes, I would be concerned about 2+ protein in urine with a 28-weeker and would look more deeply and investigate what else may be going on. I am hoping her doctor is doing all this already, as well. DO let us know how she is doing, OK? I am curious what happens w/her.

agree with last post. Normally, protein molecules are too large to get filtered thru kidneys. So there should be ZERO protein in our urine. If it is there then something is not right and the patient needs further assessment.

Not NEAR enough info by far.

IF they are concerned, ("high risk" on this one protein test alone?)----they need to do a 24-hour urine to be sure and capture a real portrait of her "protein-spilling" problem. Also, there are other things to consider like , her serial blood pressures, (does she have a hx of high blood pressure either during or before pregnancy?), possibly needing liver enzymes/profile and platelet counts, and also maybe d-dimer tests to do. Also what is her kidney function like? Was it a concern before pregnancy? Is she diabetic? So much to consider.. But to answer your question, yes, I would be concerned about 2+ protein in urine with a 28-weeker and would look more deeply and investigate what else may be going on. I am hoping her doctor is doing all this already, as well. DO let us know how she is doing, OK? I am curious what happens w/her.

Yes, I knew I had asked at the right place... thanks, Deb!

Here's the kicker... the doc has her all upset because of this protein spill. As far as she's told me, her BP is fine - always has been, not diabetic, her kidney function has always been good, the nephrologist doesn't agree that this is a problem. I do a health history on clients and everything is fine. This doctor really has my client worried, and I was wondering what a +2 protein spill signified. All she's told her is that she has a 25% chance of preemclampsia, and she's scared. Hopefully she'll know tomorrow and I'll get a chance to talk with her before I go out of town next week.

well then i would request a deeper evaluation. really best way is a 24 hour urine test.