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CRNA1982 2,881 Views

Joined Jun 14, '08. Posts: 99 (61% Liked) Likes: 135

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  • Aug 20 '16

    Quote from isthatso?
    Hello, I am a new nurse. Here's my question: what role does surgery have in bringing about renal failure? Say a pt had a surgery and he/she was receiving adequate fluids and nutrition. The labs are also being closely monitored. How does renal failure develop in such cases?
    Renal failure s/p surgery is usually due to long periods of hypotension and inadequate fluid resuscitation peri-operatively. This leads to decreased renal perfusion and subsequently decreased urine output leading to ARF. If a pt. is being managed appropriately (as you noted) by replacing all NPO deficits, following labs, and staying on top of fluid requirements as well as maintaing BP within 20% of baseline; renal failure should not be an issue.