urinary ER

Question 1

clinical signs of a life threatening urinary disease

Answer 1

firm painful bladder, lethargy

Question 2

what is generally the best test on LUT ER case

Answer 2

culture to rule out secondary, underlying or pyelonephritis

and imaging for stones

Question 3

idiopathic cystitis treatment plan

Answer 3

can commonly impirically treat. pain management, decrease stress, monitor for blockage.

Question 4

treatment steps for obstruction

Answer 4

stabilize, TREAT hyperkalemia, pain meds and sedate, unblock

Question 5

when do you remove the catheter post unblock

Answer 5

underlying cause of blockage has been addressed, normal urine output is observed

Question 6

treatments for uroabdomen

Answer 6

sedate, drain abdomen, catheter for 3 days

surgery

Question 7

how to diagnose a uroabdomen

Answer 7

2:1 creatinine ratio
or
1.4:1 potassium ratio of peritoneal fluid to serum

Question 8

fluid plan for AKI

Answer 8

replace deficits then switch to maintenance, tailor fluid to urinary output. wean fluid as they eat by half

Question 9

treatment for CKD following AKI

Answer 9

antinausea, phosphate binders, CKD diet, BP monitoring, supplimental fluid therapy

Question 10

what is our maintenance fluid therapy of choice in AKi

Answer 10

0.45NaCl

deficits with LRS