10-23-2007, 07:10 PM
One day after an emergency repair of a ruptured AAA, a 66yo man has a ur output of 35mL over a 4 hr period; a foley catheter is still in place. He received 14 units of blood during the operation. His temp is 100, p 126, and bp 104/68. Exam shows diffuse peripheral edeam. Heart sounds are normal. the lungs are clear to auscultation. there is no JVD. The abdm is soft. Las show:
hct 27%
serum Na 143
serum K 5.0
Ur Na 6
Which of the following is the most likely cause of the oliguria?
a)heart failure
b)hypovolemia
c)occluded foley
d)renal art thrombosis
e)transfusion rxn
hct 27%
serum Na 143
serum K 5.0
Ur Na 6
Which of the following is the most likely cause of the oliguria?
a)heart failure
b)hypovolemia
c)occluded foley
d)renal art thrombosis
e)transfusion rxn