J. S. is 23 years old. He was brought to the emergencydepartment after an auto accident. He suffered a concussion and adeep laceration of his right thigh. He lost about 4 units of bloodprior to effective control of bleeding and closure of the wound.Fluid resuscitation is initiated, and a urinary catheter isinserted post operation to monitor his urine output. However, hecontinues to have significant oozing from his sutured wound. His24-hour urine volume is 350 ml with a high urine osmolality and lowurine sodium. A coagulation screen results indicate the following:platelet count 250,000, bleeding time and a PTT time are bothextended.
What type of renal failure is J. S. developing? Why is this typeof renal failure developing?
If J. S. does not receive adequate treatment, what furthercondition may he develop?
Why? What is the best treatment option to prevent this fromoccurring?
What other laboratory data beside urine output should becollected to evaluate J. S.'s renal function?
If J. S.’s renal function continues to be diminished without anyimprovement, what could be the subsequent stages of his renaldisorder?
Cite specific areas from your readings and research to supportyour ideas.
