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. 1. What type of renal failure is Paul likely developing? What data support this conclusion?
Chapter7: Null And Void
Section: Chapter Questions
Problem 2CP
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Question
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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