I have a 75 year old patient who had been on anti-diabetic since last 20 years. She has developed muscle cramps and extreme lethargy. Her current status - Hb:6.8/ Other TLC DLC ESR Not significant., BS. 78 PP/ Urea - 64, Creatinine 3.3, Urine - Nitrites + Pus loaded, Bacteria present. Urine for culture result awaited. Currently on - Inj. Cefaperazone with Salbactum 1.5 gm IV q12h in 100 ml.
saline., Oral antidiabetics Trajenta, Amaryl. IV occasionally. I am trying to start 4000 IU of Erythropoitein from tomorrow. I feel its Diabetes with CRF and UTI. I seek your professional expert suggestion and guidance.
