can someone give me an answer to this reflective question please? Can you remember as a new graduate your pathophysiology with regards to third spacing fluid deficit? What do you think your answer might be as you learned more about it?
What is the importance of fluid volume deficit, the associated risks and complications resulting post-op after cardiac surgery that carry a life threatening risk in somepne hypotensive, dehydrated, advanced age 69 and low cardiac output and myocardial stunning
Specializes in Critical Care, ED, Cath lab, CTPAC,Trauma.
OP.... Do you understand what you pasted? Did this patient has Aortic Stenosis? What does this article have to do with the patient care scenario that you posted?
If you do not give us complete information we can't help you.
Honey Bee, it is important for you to gain understanding on the topic, not just get an answer. I would prefer to see you summarize an article rather than copying and pasting it. As Esme said, many of us are more than willing to help you understand difficult concepts, but you have to put in some work too.
What would an eGFR be on an 87 year old male who presents with Acute Urinary Retention (AUR) and has a history of stroke, previous TURP, acut on chronic confusion and episodes of dysarthria. Patient is in hospital and Urology Team have inserted a Foley catheter. Respiratory rate is 32 bpm, Sats 93% on RA, BP Manual 112/60 and HR 109 per minute. patient is shivering although afebrile. Pain score of 7-8/10 in severity. has an excoriated Glans tip of member and appears shiny red with visible discharge from orifice. Surrounding skin of groin i sintact but appears red with signs of beginning excoriation. Patinet wears a pad and is wet with urine and is faecal incontinent. Patient pulled catheter out leaving a urethra tear and is tugging on it again not drinking fluids saying it will make him wee and it is too painful. Blood stained and clot formation visible in IDC patent and draining. What would this patient eGFR look like does anyone know?
Specializes in Critical Care, ED, Cath lab, CTPAC,Trauma.
As always I am happy to help....but I need to know if you are a student. What country are you from? What has your research shown you about urinary retention and eGFR?
Specializes in Critical Care, ED, Cath lab, CTPAC,Trauma.
eGFR
What would an eGFR be on an 87 year old male who presents with Acute Urinary Retention (AUR) and has a history of stroke, previous TURP, acut on chronic confusion and episodes of dysarthria. Patient is in hospital and Urology Team have inserted a Foley catheter. Respiratory rate is 32 bpm, Sats 93% on RA, BP Manual 112/60 and HR 109 per minute. patient is shivering although afebrile. Pain score of 7-8/10 in severity. has an excoriated Glans tip of member and appears shiny red with visible discharge from orifice. Surrounding skin of groin i sintact but appears red with signs of beginning excoriation. Patinet wears a pad and is wet with urine and is faecal incontinent. Patient pulled catheter out leaving a urethra tear and is tugging on it again not drinking fluids saying it will make him wee and it is too painful. Blood stained and clot formation visible in IDC patent and draining. What would this patient eGFR look like does anyone know?
Who gave you this scenario? If the patient has a in dwelling catheter...do they still have retained urine?
WIthout lab work it is impossible to tell you what the eGFR would be....we can make an educated guess about what urinary retention can to do to the GFR but not what the GFR really is.
Esme12, ASN, BSN, RN
20,908 Posts
OP.... Do you understand what you pasted? Did this patient has Aortic Stenosis? What does this article have to do with the patient care scenario that you posted?
If you do not give us complete information we can't help you.