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.
As an update, I don't know much but was told she is doing much better, ambulating unassisted and the plan is discharge tomorrow. I hope she is still there tomorrow night so I can talk to her.
To answer the questions: no toradol, pt was given only morphine/morphine derivatives. Blood pressure was normal pre-op, no contrast dye given.
Interesting thought on SIADH hadn't considered that as an option, not knowing much onc.
Bravo! We need more fun "Play House" threads! They stimulate thinking that needs dusting off when you have worked in a specialty too long. Thank You!
Agreed! Definitely, especially if they aren't my "patient"!! I'm happy with how the situation turned out and pleased that at least although somewhat new my thought processes and interventions were in line with what others would have considered.
I'm happy with how the situation turned out and pleased that at least although somewhat new my thought processes and interventions were in line with what others would have considered.
Moneymn316
17 Posts
SIADH? Any small cell carcinoma?
I agree with the contrast dye post however...