Dilantin and albumin

Common Questions and Answers about Dilantin and albumin

dilantin

So, for example if a standard blood test showed Phenytoin 64.6umol/L and the albumin was 30g/L, can you predict accurately whether the unbound or free levels are in the therapeutic range? Would other factors like creatinine be considered?
My mother, 67, has CHF, Renal Insufficiency, is on enteral feeding at 65cc/constant and has been allowed 100cc of H2O every 6 hours. She also takes 100mg of Dilantin 3x daily and 20mg of Lasix daily. Being that we have to stop feeding 1 hour prior to and after giving Dilantin, she loses a total of 6 hours of feeding. Is it okay to double the rate of the enteral feed to 130cc for 2 hours after resuming feed each time Dilantin is given to make up for the lost time?
She is on Dilantin for seizures and is not doing well. Very tired all the time. Her dilantin level came back at 21 so the doctor just lowered her dose. I'm just wondering if she should be taking the Free T3 test instead. My parents doctor is an older gentlemen and he never checked their thyroid levels until I asked him too. Thank you for any response.
Patient has now had cerebrospinal fluid exam. Both the albumin and absolute levels of IgG were markedly increased. In addition she had an increased IgG index and daily rate of IgG synthesis at 45mg/day. These features are highly characteristic of MULTIPLE SCLEROSIS and seem to support the MRI observations. DIAGNOSES: 1. Multiple Sclerosis, in remission 2. Single Grand Mal Convulsion 3. Olefactory sensations.
The child developed seizures almost immediately after birth, requiring TX with Phenbarb, Dilantin and Activan. LP done which was bloody. Initial CT showed subarachnoid blood. EEG showed burst suppression pattern. EEGs on 5/10, 5/11, 5/15, 5/26 and 6/5 all showing persistence of burst suppression. MRI on 5/18 showed scattered areas of subarachnoid blood, increased signal intensity and some hemorrhage within the Basal Ganglia.
5 mg/dl, SGOT(AST)-16 iu/l, Serum total protein-7.4 g/dl, Serum Albumin-4.7 g/dl, Serum Globulin-2.7, SGPT(ALT)-26 iu/l, and GGTP(IFCC)-109 iu/l. GGTP of Apr08 is above reference range of 10-50: but has been dismissed away by 9 of 10 different specialists I consulted whereas my neurologist thinks it to be significant; putting me on 450 mg Udiliv (ursodesoxycholic acid), 250 mg Diamox (Acetazolamide), and 250 mg Becosules (VitaminB complex) from Sep11 (approx 1 month now).
Sorry but the information you provided does not give us enough information to tell why your ALT is high and AST slightly elevated and GGT is high. It only tells us what isn't causing the higher than normal levels. You don't have hepatitis A, B or C according to your tests. So that is not the cause of the elevated blood levels. Hepatitis A IgG are antibodies.
He said to take the vit D for 3 months and then come back to retest to see what my Vit D, b12, and folate levels were, He also said the thyroid can be affected by stress and as my body was low in vit D it would be good to retest thyroid again in 3 months after the Vit D kicks in.
My hair and skin is healthy also. I'm really scared and don't know who to turn too. My doctor said I have to take the medicine or I'll be sick. She won't listen to me and won't think of Armour. I was to get my adrenal glands checked and my progesterone checked but she isn't calling. If feel so lost. I know two people on synthroid and they can't even walk 1 mile, can't lose weight and have hair loss....
I'm 42yrs old, mother of adult son, but have had undiagnosed symptoms off and on for years. From Joint pain and swelling to lymph node swelling and tenderness to now currently weakness (heavy feeling) and constant tiredness. I was diagnosed about a year and a half ago with a dead gallbladder which was removed...and it was dead. But now my PCP is testing for Autoimune and Viral/baterial infections: Mono, Lyme, Celiac and Lupus. I won't get the test results for another 24hrs or so.
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