Paul is a 23-year-old. He was the victim of a hit-and-run auto-pedestrian accident and suffered multiple abrasions, a concussion, and a deep laceration of his left thigh. He was discovered approximately 2 hours after the incident and is now in the emergency department. Paul’s vital signs and hematocrit suggest that he has had a blood loss of about 2,500 ml. A urinary catheter is inserted to monitor urine output, and fluid resuscitation is initiated while his wounds are cleaned and sutured. The urine output is averaging 15 ml/hr, with a high urine osmolality and low urine sodium. Discussion Questions1. What type of renal failure is Paul likely developing? What data support this conclusion?2. Without adequate therapy, what may develop? Why? What is the best therapy for preventing this from occurring?3. In addition to urine output, what laboratory data should be monitored to assess changes in Paul’s renal function
Paul is a 23-year-old. He was the victim of a hit-and-run auto-pedestrian accident
and suffered multiple abrasions, a concussion, and a deep laceration of his left
thigh. He was discovered approximately 2 hours after the incident and is now in
the emergency department. Paul’s vital signs and hematocrit suggest that he has
had a blood loss of about 2,500 ml. A urinary catheter is inserted to monitor urine
output, and fluid resuscitation is initiated while his wounds are cleaned and
sutured. The urine output is averaging 15 ml/hr, with a high urine osmolality and
low urine sodium.
Discussion Questions
1. What type of renal failure is Paul likely developing? What data support this
conclusion?
2. Without adequate therapy, what may develop? Why? What is the best
therapy for preventing this from occurring?
3. In addition to urine output, what laboratory data should be monitored to
assess changes in Paul’s renal function
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