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. Without adequate therapy, what may develop? Why? What is the best therapy for preventing this from occurring?

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. Without adequate therapy, what may develop? Why? What is the best therapy for preventing this from occurring?

Principles Of Pharmacology Med Assist

6th Edition

ISBN:9781337512442

Author:RICE

Publisher:RICE

Chapter25: Diuretics And Medications Used For Urinary System Disorders

Section: Chapter Questions

Problem 7RQ

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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. 1. What type of renal failure is Paul likely developing? What data support this conclusion?
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. 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 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
As a nursing student, why is it important to manage urinary catheters?
ASAP
In reviewing the patient’s current information, a concern exists that acute kidney injury has developed. Select to highlight the laboratory information that would support this concern.UrinalysisCasts - +++Cola-color to urineProteinuriaBlood ValuesRBC - 3.9 cells/L (4.0-4.9 cells/L)Hgb 10 g/dL (12-16 g/dL)Hct-40% (37%-48%)WBC 11.0 cells/L (4.0-10.0 cells/L)Platelets - 140 cells/L (150-450 cells/L)Sodium - 140 mEq/L (135-145 mEq/L)Potassium - 4.5 mEq/L (3.5-5.2 mEq/L)BUN - 32 mg/dL (5-20 mg/dL)Creatinine 1.8 mg/dL (0.5-1.5 mg/dL)Blood Glucose - 180 mg/dL (nonfasting) (<200 mg/dL)AST-40 Units/mL (5-40 Units/mL)ALT - 30 Units/mL (5-35 Units/mL)Bilirubin (total)- 0.8 mg/dL (<1.0 mg/dL)Albumin - 4.0 (3.5-5.5 g/dL)PT-22 (11.5-14 seconds)
Ms. Jackson is a single, 56-year-old woman with a 20-year history of type 1 diabetes, hypertension, hyperlipidemia, chronic anemia, and a total knee replacement. She has been diagnosed with CKD. She was admitted to a medical unit for treatment of shortness of breath and CKD. Treatment will include hemodialysis. She has had increasing shortness of breath, has pitting edema, urine output of about 375 mL/day, and is having premature ventricular contractions (PVCs) as seen on the cardiac monitor. Her admitting laboratory values are Na 131, K 6, Cl 97, Ca 10, iron (Fe) 64, WBC 4000, RBC 3.12, Hgb 10.1, Hct 32, creatinine 7, BUN 30. Her blood glucose levels yesterday were as follows: 07:00, 154 mg/dL; noon, 122 mg/dL; 17:00, 188 mg/dL. She has sliding-scale insulin ordered. She is having an echocardiogram and chest x-ray done. She is having a two-tailed subclavian catheter placed for blood access. She is withdrawn and quiet. Ms. Jackson is a single, 56-year-old woman with a 20-year history…
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What type of PPEs should the team members wear during the cystogram
Martha is a 56 year old female admitted for a care following a valve replacement surgery (7days) and acute renal dysfunction requiring hemodialysis postoperative . PMH:CHF and Afib