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?

An Illustrated Guide To Vet Med Term
4th Edition
ISBN:9781305465763
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Chapter7: Null And Void
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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?

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