Case-3: Patient History
P.W. is 23 years old. He was the victim of a hit-and-run auto-pedestrian accident and suffered multiple abrasions, a concussion, and a deep laceration of his left thigh. He was discovered approximately 2 hours after the incident and is now in the emergency department. P.W.âs vital signs and hematocrit suggest that he has had a blood loss of about 2500 ml. A urinary catheter is inserted to monitor urine output, and fluid resuscitation is initiated while his wounds are cleaned and sutured. The urine output is averaging 15 ml/hr, with a high urine osmolality and low urine sodium.
Analyze this case study and answer the next four questions that follow.
Case-3: Question-3
In addition to urine output, what laboratory data should be monitored to assess changes in P.W.âs renal function? (select all that apply)
A) Creatinine clearance can be measured to more accurately assess glomerular filtration rate.
B) Serum BUN, creatinine, and potassium should be monitored. An increase indicates decreased renal function.
C) Serum sodium may be useful in determining the correct IV fluid composition to administer.
D) Serum BUN, creatinine, and potassium should be monitored. A decrease indicates decreased renal function.
Case-3: Patient History
P.W. is 23 years old. He was the victim of a hit-and-run auto-pedestrian accident and suffered multiple abrasions, a concussion, and a deep laceration of his left thigh. He was discovered approximately 2 hours after the incident and is now in the emergency department. P.W.âs vital signs and hematocrit suggest that he has had a blood loss of about 2500 ml. A urinary catheter is inserted to monitor urine output, and fluid resuscitation is initiated while his wounds are cleaned and sutured. The urine output is averaging 15 ml/hr, with a high urine osmolality and low urine sodium.
Analyze this case study and answer the next four questions that follow.
Case-3: Question-3
In addition to urine output, what laboratory data should be monitored to assess changes in P.W.âs renal function? (select all that apply)
| A) Creatinine clearance can be measured to more accurately assess glomerular filtration rate. |
| B) Serum BUN, creatinine, and potassium should be monitored. An increase indicates decreased renal function. |
| C) | Serum sodium may be useful in determining the correct IV fluid composition to administer. |
| D) Serum BUN, creatinine, and potassium should be monitored. A decrease indicates decreased renal function. |
