DOI: 10.36347/sjmcr.2014.v02i11.018

Pages: 752-754

A 24 year old male with alleged of history of ingestion of unknown quantity of Quinal phos admitted with GCS E1VTM1, Pupils B/L5MM reacting, Blood pressure- 100/70mmHg, heart rate at 170bpm, SPO2 was 100, ABGmixed acidosis and vomiting, involuntary bowel and bladder. Investigations revealed Serum Creatinine 3.13, Blood urea nitrogen 90mg/dl, K+ 4.7 with compensated metabolic acidosis in arterial blood gas, Ultra sound abdomen reveals grade one renal parenchymal changes. There was a progressive rise of creatinine to 7.14 for which hemodialysis was initiated alternate day, urea & creatinine values came down with each dialysis. Patient showed improvement leucocytosis came down, electrolytes, liver function test, lactate levels corrected.