Emergency Department

Please refer to Chapter 28 and then answer all of 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.

 

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However, he continues to have significant oozing from his sutured wound. 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 besides 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? Cite specific areas from your readings and research to support your ideas. I will provide the pages of chapter 28 for this assignment. The reference for this book is Reference:  Banasik J. L. & Copstead, L. C. (2019).Pathophysiology (6th ed.). Elsevier, Inc.also use outside sources as well please all in 7th edition format For more information read this:https://en.wikipedia.org/wiki/Emergency_department

 

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