ASSIGNMENT | What type of renal failure is J. S. developing?

Please refer to Chapter 28 and then answer the questions that follow the case study:

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.

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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?

SAMPLE SOLUTION

Renal Failure

Type of Renal Failure J.S is suffering from and why it is Developing

From the given case study, J.S could be developing a prerenal acute failure. This kind of renal failure is developing as a result of the high urine and osmolality and the low amount of sodium in PLACE YOUR ORDER NOW AT writtask.com | diagnosis shows that he has a urine volume of 350ml composed of low sodium and high osmolality.

The Condition that may Develop if no further Treatment is Given If prerenal acute PLACE YOUR ORDER NOW AT writtask.com | addressed in time, it may easily lead to intrarenal acute renal failure, which is associated with complete kidney failure. The condition may arise as a result of the obstructed flow of blood to the kidneys. The best treatment option to prevent this from occurring is to have early dialysis to…