Question

J. S. is 23 years old. He was brought to the emergency department after an auto accident. He suffered a concussion and a deep laceration of his right thigh. He lost about 4 units of blood prior to effective control of bleeding and closure of the wound. Fluid resuscitation is initiated, and a urinary catheter is inserted post operation to monitor his urine output. However, he continues to have significant oozing from his sutured wound. His 24-hour urine volume is 350 ml with a high urine osmolality and low urine sodium. A coagulation screen results indicate the following: platelet count 250,000, bleeding time and a PTT time are both extended.What type of renal failure is J. S. developing? Why is this type of renal failure developing?If J. S. does not receive adequate treatment, what further condition may he develop? Why? What is the best treatment option to prevent this from occurring?What other laboratory data beside urine output should be collected to evaluate J. S.'s renal function?If J. S.’s renal function continues to be diminished without any improvement, what could be the subsequent stages of his renal disorder?Cite specific areas from your readings and research to support your ideas.

Answer 1

J. S. is likely developing acute renal failure due to blood loss and kidney hypoperfusion. Untreated, it can progress to end-stage renal disease. Immediate fluid and blood product replacement, along with monitoring of renal function tests, is necessary for treatment.

Step-by-step explanation:

J. S. is likely developing a form of acute renal failure, also known as acute kidney injury (AKI), due to the significant loss of blood and the subsequent hypoperfusion of the kidneys. The low urine output (oliguria), high urine osmolality, and low urine sodium are indicative that the kidneys are trying to conserve water and sodium, reflecting a state of shock and renal conservation in response to acute injury. Without adequate treatment, J. S. may progress to chronic kidney disease or end-stage renal disease (ESRD), where the kidneys can no longer function effectively on their own. To prevent this, J. S. needs immediate fluid and blood product replacement to restore intravascular volume and correct the hypoperfusion. Additionally, other renal function tests should be collected, such as serum creatinine, blood urea nitrogen (BUN), and electrolytes.

Answer 2

You should do that yourself, I'm sure you can, just don't me lazy my guy. GL

Step-by-step explanation: