My father is 76, height 1.68cms., he is diabetic and is presently admitted in Max Hospital, DLF, Gurgaon. He was diagnosed thru Hains test AFB +++,MOTT a week ago so the doctors started to treat him with Rifampicin, Pyrazinamide, Magnex & Livoflox. Since his Urea & Creatinine levels started going up during the past 5 days they stopped his ATT yesterday to confirm if the growth was on account of ATT medication. However even this morning(24th July) after having stopped the ATT medication for 24 hrs.his Urea level has gone up from 135 to 144 and creatine from 4.71 to 4.88. His sodium level is 134 today and was 133 yesterday. Now he is being given Sodium bicarbonate injection. What must be done under the present situation ?
Following should be kept in mind avoiding nephrotoxicity medications dose adjustment of medication according to creatinine clearance if creatinine goes up further dialysis may be required. Nephrology consultation must be done