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| Anuria |
Anuria
DEFCOMPLETE ABSENCE OF URINE PRODUCTION
oliguria is less than 300ml urine per day
CAUSE
1 prerenal
hypovolumeia
blood loss
sepsis
cardio shock
anasthesia
hypoxia
2renal
drug
poison
contrastmedia
elampsia
myoglobintria
incompatable blood transfusion
disseminate l c
3 obstructive
calculi
pelvic malignancy
surgery
retroperi fibrosis
bilharzia
crystaltria
clinical feature
1 urine output decrease
2 vital bp low
3 pulse more
4
INVESTIGATION
1 URINE
specific gravity
cultre
micromicro
2 abg
3 usg feature of hyponeprosis
4 abdoradio
treatment
three shape
1 oliguria
2 diuretic
3 recovery
aim
restoration of circulator volume defict and to correct tissue hypoxia
1initial MANAGEMENT
1 catherisation
2 charting urine
3 moniter vital
4 dopamine for co maintain
5 frusemied to restore urine production
6 manitol as plasma expander
7 o2 100%
8 avoid excess fluid
9 replase loss fluid
2 oliguria
1 correct hypeK ACIDSIS
by ca resonin enema
2 DIURETIC PHASE
electrolytic
requirement fulfill na and k
if not recovery renal replace
3 General
nutritional support
trea t infectio
general nursing
renal support
perito dialysis
hemodialysis
hemofilteration
4for obstructive cause
drainige by percutaneous nephrostomy
insertion of j stent
open surgery
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