A patient arrives in the ER after suffering a fall from a third floor window. He has multiple obvious fractures, is unconscious and unresponsive, and has a blood pressure of 50/0 and pulse that is very rapid and thready.  One of the many “first things” to be done for him is insertion of a foley catheter into his urinary bladder to determine if his glomerular filtration pressure is greater than 10mmHg.  Why? A) If his blood pressure is adequate to give him a glomerular filtration pressure greater than 10mmHg, he will make at least 50cc/hr of urine and thus will be able to regulate his electrolytes pH, and measuring urine output, thus glomerular filtration pressure, tells the medical staff whether their resuscitation efforts are working and adequate B) None of these answers is correct C) Measuring urine output, thus glomerular filtration pressure, tells the medical staff whether their resuscitation efforts are working and adequate D) Inserting a foley catheter is actually not an essential action in the first minutes of a traumatic resuscitation E) If his blood pressure is adequate to give him a glomerular filtration pressure greater than 10mmHg, he will make at least 50cc/hr of urine and thus will be able to regulate his electrolytes and pH

Phlebotomy Essentials
6th Edition
ISBN:9781451194524
Author:Ruth McCall, Cathee M. Tankersley MT(ASCP)
Publisher:Ruth McCall, Cathee M. Tankersley MT(ASCP)
Chapter1: Phlebotomy: Past And Present And The Healthcare Setting
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A patient arrives in the ER after suffering a fall from a third floor window. He has multiple obvious fractures, is unconscious and unresponsive, and has a blood pressure of 50/0 and pulse that is very rapid and thready.  One of the many “first things” to be done for him is insertion of a foley catheter into his urinary bladder to determine if his glomerular filtration pressure is greater than 10mmHg.  Why?

A) If his blood pressure is adequate to give him a glomerular filtration pressure greater than 10mmHg, he will make at least 50cc/hr of urine and thus will be able to regulate his electrolytes pH, and measuring urine output, thus glomerular filtration pressure, tells the medical staff whether their resuscitation efforts are working and adequate
B) None of these answers is correct
C) Measuring urine output, thus glomerular filtration pressure, tells the medical staff whether their resuscitation efforts are working and adequate
D) Inserting a foley catheter is actually not an essential action in the first minutes of a traumatic resuscitation
E) If his blood pressure is adequate to give him a glomerular filtration pressure greater than 10mmHg, he will make at least 50cc/hr of urine and thus will be able to regulate his electrolytes and pH
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