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Decrease urine output (question (UO in 24 hr? ((有無foley?)<400 ml, <…
Decrease urine output
question
vital signs, why admitted
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UO in 24 hr?
(有無foley?)<400 ml, <20ml/hr 代表oliguria
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order
- 20-30 ml NS flush catheter 確保有通
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thoughts
prerenal
reduced CO: CHF,constrictive pericarditis,cardiac tamponade
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renal
tube
nephrotoxin
exo:AABCC aminoglycoside, amphotericin B,contrast, chemotherapy
endo:myoglobin, bence johns, amyloid, oxalate, uric acid
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vascular
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emboli
aortic atheroma, SBE, left sideed heart thrombi
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A & vital: postural rise in HR>15, SBP下降15mmHg
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