Pt was s/p abd surgery POD > 5 when they stopped producing urine. Less than 10cc/hr x 24hrs. Pt had a foley cath, was bladder scanned, negligent amount of urine in the bladder. multiple fluid boluses failed to produce any result, CT was negative as to the fluid being in abd/pelvis, pt was not overly edematous, lung sounds were diminished but clear, BUN/Creatnine were mildly elevated, but nothing serious, majority of other labs were WNL, only major change was an elevated phos. VS were hypotensive-normal, tachycardic, afebrile, resp even, shallow, regular. Pt had previously had no renal problems.
Pt was on a lot of narcotics for pain issues (the only thing that was changed within 48 hours) and was somewhat sedated.
