Anuria

Anuria

Anuria

DEF
COMPLETE ABSENCE OF URINE PRODUCTION

oliguria is less than 300ml urine per day

CAUSE
1 prerenal
hypovolumeia
blood loss
sepsis
cardio shock



anasthesia
hypoxia

2renal
drug
poison
contrastmedia
elampsia
myoglobintria
 incompatable blood transfusion
disseminate l c

3 obstructive
calculi
pelvic malignancy
surgery
retroperi fibrosis
bilharzia
crystaltria

clinical feature

1 urine output decrease
2 vital bp low
3 pulse more
4
INVESTIGATION
1 URINE
specific gravity
cultre
micromicro

2 abg
3 usg feature of hyponeprosis
4 abdoradio

treatment


three shape
1 oliguria
2 diuretic
3 recovery

aim
restoration of circulator volume defict and to correct tissue hypoxia

1initial MANAGEMENT

 1 catherisation
2 charting urine
3  moniter vital
4 dopamine for co maintain
5 frusemied to restore urine production
6 manitol as plasma expander
7 o2 100%
8 avoid excess fluid
9 replase loss fluid

2 oliguria

1 correct hypeK ACIDSIS
by ca resonin enema

2 DIURETIC PHASE
electrolytic
requirement fulfill na and k

if not recovery renal replace

3 General
nutritional support
trea t infectio
general nursing
renal support
perito dialysis
hemodialysis
hemofilteration

4for obstructive cause
drainige by percutaneous nephrostomy

insertion of j stent

open surgery