Review Note

Last Update: 06/08/2024 03:46 PM

Current Deck: SLS Cards::9. Trauma

New Card (Unpublished)

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Pending Suggestions


Field Change Suggestions:
What is your differential and initial management of post-op chest oliguria?
DDx 
  • AKI (e.g. prerenal from dehydration/ hypovolemia, renal ATN, renal artery embolism, postrenal)
  • Medication
  • Urinary retention (incl neurogenic)
  • Obstruction
  • Sepsis
Management 
  • VS, fluid assessment (CBASEH2O = cap refill, BP, anterior neck veins, skin turgor, eyes sunken, HR, oral mucosa, output of urine)
  • Bladder scan for PVR, I+O possible Foley, labs (CBCd, lytes, Cr, urea, UA, ACR)
  • IVF
  • Hold nephrotoxic meds