Table 1.
The clinical pattern of biochemical parameters in a patient with HNV bite during hospital stay.
| Biochemical parameters | At local hospital | On admission (Day 1) | Day 3 | Day 5 | Day 7 | Day 10 | Day 14 |
|---|---|---|---|---|---|---|---|
| Haemoglobin (11.5–13.5 g/dL) | 7 | 6.1 | 5.0 | 5.8 | 7.6 | 9.0 | 11.5 |
| White cell count (4000–11,000/mm3) | 12,000 | 19,000 | 15,000 | 14,000 | 12,000 | 11,000 | 8000 |
| Platelets (150,000–450,000/mm3) | 98,000 | 65,000 | 67,000 | 68,000 | 87,000 | 16,500 | |
| AST (12–40 IU/L) | 32 | 36 | 43 | 56 | 65 | 35 | 36 |
| ALT (<40 IU/L) | 34 | 37 | 35 | 46 | 55 | 43 | 35 |
| Serum creatinine (17–107 µmol/L) | 795 | 1076 | 990 | 879 | 556 | 330 | 102 |
| Serum sodium (135–145 mmol/dL) | 135 | 137 | 138 | 142 | 135 | 139 | 134 |
| Serum potassium (3.5–5.0 mmol/L) | 4.3 | 5.2 | 5.9 | 6.1 | 5.3 | 5.7 | 4.7 |
| Total serum bilirubin (0.3–1.6 mg/dL) | – | 25 | 24 | 21 | 11 | 4 | 1.2 |
| Direct serum bilirubin (0.075–0.4 mg/dL) | – | 7.2 | 7.8 | 7.9 | 3 | 1.2 | 0.4 |
| Indirect serum bilirubin (0.025–1.2 mg/dL) | – | 18.7 | 16.2 | 13.1 | 8 | 2.8 | 0.8 |
| PT/INR (<1.4) | – | 0.9 | 0.8 | 1.1 | 1.3 | 0.9 | 0.9 |
| APTT (30–45 s) | – | 32 | 34 | 35 | 34 | 37 | 32 |
| Blood urea (<25 mg) | 40 | 50 | 45 | 55 | 43 | 29 | 25 |
HNV: hump-nosed viper; APTT: activated partial thromboplastin time; AST: aspartate aminotransferase; ALT: alanine aminotransferase; PT: prothrombin time; INR: international normalised ratio.