
Is Serum Creatinine Level Of 1.5 Mg/dl A Cause For Concern?

My Mother-in-law is advised to CABG due to triple vessel blockage.She is a diabetic and with no blood pressure complaint.My query is about serum creatinine which is showing abnormal change with in 7 days of interval. On 3/12/2016 it is about 0.7 mg/dl and on 08/12/2016 it is showing 1.5 mg/dl. My question is why sudden change and what medication is needed to bring back serum creatinine to normal. Is this a constraint/concern for CABG surgery which is planned to happen in next 2 days. Please suggest us. Thank you.
Repeat creatinine from different lab and consult treating surgeon
Detailed Answer:
Hello,
I have gone through your question and understand your concerns.
The two reports are almost within normal range but if the reports are from same laboratory then such a rise is significant for a week duration.
Lab variability is found between different labs.
Raised creatinine in diabetes and triple vessels disease requires investigation for renal size and echotexture.
Urine examination may be required.
Is the urine output adequate?
Any medications recently added?
Provide all medications details.
Medications do not decrease creatinine but the cause needs to be investigated and treated.
You should consult the surgeon before surgery.
Regards
Dr N Kumar
Neurologist

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