Renal US seems indicated to me. Any other opinions? - hypotension oliguria
1) You are invited to assess a patient's artery stenosis in the lower unit. The patient is TURP day two years. The reports of the nurse, the straw-urine, no blood clots in the last layer. Currently, no irrigation once 100 cc of sterile Foley. The patient is alert and reported no discomfort. The bug report indicates that the patient had an episode of hypotension, but vital signs remained unchanged since then. How prerenal oliguria vs. intrarenal better differentiate?
a) the administration of a bolus of 500 cc NSS 0.9% and monitor response
b) applying a surcharge of 50 cc of sterile irrigation Foley
c) receive a kidney ultrasound
d) First of sodium in urine and calculation FENA +
Tuesday, February 23, 2010
Hypotension Oliguria Renal US Seems Indicated To Me. Any Other Opinions?
2 comments:
Fena D. The future will show whether the problem or renal dysfunction (NTA, probably) because of hypotension. However, the results may take several hours behind if it does not represent resistance indications in question to monitor my fluid bolus and the patient with urine output.
Fena D. The future will show whether the problem or renal dysfunction (NTA, probably) because of hypotension. However, the results may take several hours behind if it does not represent resistance indications in question to monitor my fluid bolus and the patient with urine output.
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