- General Orders for the Renal Failure Patient
- Renal Trauma / Urogenital Trauma
- Fluids Electrolytes and Nutrition
- Renal / Dialysis
- Hematology
- Neuro
- MSK
- ID: frequent UA and UCx to rule out infection, esp w/ foley;
- hemodialysis effciently removes aminoglycosides (50% after 4hrs) and penicillins and cephalosporins;
- hence drug doses should be given at the end of dialysis;
- Cardiovascular:
- r/o uremic pericarditis (ECHO), consider need for steroids, indocin, or need for more intensive dialysis;
- pericardial tamponade requires drainage;
- GI:
- expect N/V, anorexia, and metallic taste in mouth;
- vomiting & diarrhea and inadequate fluid intake may add prerenal component to RF;
- add tagamet, as there is a higher incidence of ulncers;
- Endocrine:
- w/ decr renal f(x) expect decr insulin requirments;
- Bone Disease
- Intra-Renal Oliguria
- Prerenal Management
- Postrenal
- References
- Renal Toxins
- Signs and Symptoms of Renal Dz
- Urine Analysis