What the most protein you have seen in a 24hr urine??

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I had a pt last night w/ great BP's, occasionally a 140's/80's. No s/s Pre-E. Uric acid was 5, LDH was slightly elevated, Creatinine was 0.9, all other labs were fine. The results of her 24hr urine had 10,790mg of Protein/ 24 hrs!!!

10 Grams of Protein?? I actually called the lab b/c I didn't think that was possible. When I called the doc, she said it doesn't happen often, but it can happen. She was thinking some type of atypical Pre-E or kidney process going on.

So what's the most you've seen in a 24 hr urine?

15 grams is the highest I think I've seen, I work a pretty high risk place, I dont' remember how many weeks she was, tho.

Recently had a patient, having her 2nd child, after she was so severely preeclamptic with the first it damaged her kidneys she had had to have a kidney transplant!!!!?!?!

WHY ON EARTH WOULD SHE get pregnant again, i have no idea???

Her repeat c=section was HELL because of all scar tissue from her c/s and transplant, not to mention she was a brittle typeII diabetic, so bad she had to stay on L&D for postpartum blood sugar control with 30min accuchecks.

INSANE

I dont which is worse

The patients that nearly die from liver failure or kidney failure?

Specializes in Specializes in L/D, newborn, GYN, LTC, Dialysis.

Welcome to new members and "lurkers" here. I am glad you chose to share your stories and that you recovered! Your experiences are invaluable teaching for the rest of us.

Specializes in L&D,postpartum nursery.

we had a 28 weeker that had a 24 urine protein that was 30 grams, we shipped her to a bigger hosp they del baby did well but mom was on a vent for three days.

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