Patients are at risk of being delayed into renal ischemia with renal injury, but acute kidney injury usually presents with non-bright red urine. Urinary manifestations of acute kidney injury are usually dark, cloudy urine.
Clinically, there are generally two indicators to distinguish acute kidney injury, one is urine output, and less urine output is the most typical clinical symptom of acute kidney injury. The other is the serum creatinine value. Acute kidney injury can be divided into three grades based on urine output and serum creatinine values. Clinical grading has always been used to guide clinical treatment options. When it is divided into three levels, it is necessary to consider starting the hemodialysis plan.
Now this patient returned to the ICU with darker urine. The ICU doctor hurriedly sent urine and blood samples to the laboratory for testing. At this time, can it be easily said that this patient may have acute kidney injury due to previous diseases? Obviously not.
Doctors must seek truth from facts, and cannot blame the patient's previous illnesses. This is not conducive to the patient's subsequent treatment.
Xie Wanying mentioned this to Brother Xia: "It is estimated that the proportion of acute kidney injury after surgery is higher. The proportion of acute kidney injury after cardiothoracic surgery is very high."
This is an unavoidable surgical complication. As long as patients take extracorporeal circulation during surgery, many harmful factors in extracorporeal circulation, such as myoglobin inflammatory mediators, are too likely to cause acute kidney injury. At this time, the so-called acute kidney injury caused by renal insufficiency is ranked at a lower possibility.
Listening to her methodical analysis, Xia Dongxian nodded in his heart and thought: I have heard of this little junior sister before, and her knowledge of surgery and medicine is very good. Now it seems that it is more than that, the little junior sister has the potential to be a big boss. Dai Ronghong recommended it.
As an ICU doctor, Xia Dongxian has dealt too many times with big bosses in various departments. It can be said that he knows what a big boss' qualification is better than other doctors.
The perioperative management of critically ill patients is not only the focus and difficulty of the ICU, but also the embodiment of testing the real ability of a surgical master.
Some hospital surgeons leave the problems of such patients to ICU doctors, while others do not. In surgery, the bigger the boss, the less likely he is to dump the pot, especially when it comes to these key patients that are related to other important matters, the boss personally watches over them.
Not surprisingly, Xia Dongxian didn't need to be notified, and soon saw Fu Xinheng who came over after taking a break from the operation.
Wearing slippers and leading someone to stand at the door of their ICU office, Fu Xinheng took out his hand from the pocket of his white coat and waved it, implying that Xia Dongxian didn't need to speak.
Seeing this robot sneaking around, it must be malicious and purposeful. Xia Dongxian rolled his eyes: Could it be that he wanted to investigate his junior sister in all aspects and be particularly picky
This possibility is very high. One of the reasons why robots are called robots is that they are inflexible and harsh.
Xie Wanying immersed herself in the study of the patient's medical records, without raising her head, she did not notice anyone coming, and said: "Acute kidney injury is not enough from the analysis of serum creatinine and urine volume, and usually needs to add biological markers. Now the patient's urine is brown, and acute kidney injury should be considered. The possibility of renal tubular necrosis. The factors affecting the operation will not be discussed after the operation. From the perspective of other indicators of patients today, I personally think that the most critical point is blood transfusion."
"Blood transfusion?" Xia Dongxian was surprised.
Kidney problems without medication and only thinking about blood transfusion
"To restore the kidney after surgery, sufficient renal perfusion must be restored, so that the patient's kidney can repair itself."