Tikenjit Mazumdar
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15 Jan 2023 10:47:27 AMPOD
This,30 years old male patient complain of decrease urine output of 7days .
O/e bilateral pedal edem,sacral edema.
RFT done.. showing urea 130 ,creatine 18
Na n K - !normal
1 PD done.creatine came down to 16
Usg showing rt upper ureteric stone with grade 1 him
Lft lower ureteric stone with grade 1hun
Plain CT film attached
Urgent b/l dj stenting done..
But now at 6 hrs post op patient is having having urine output of ?more then 3 liters...
Electrolytes normal
How to predict whether it's will go to pathological POD or not? How to manage pathological POD?how to manage POD?how to manage physiological POD?
Ravindra Sabnis
04 Apr 2020 02:50:58 PMThere is nothing like physiological or pathological diuresis. Every diuresis you have to keep watch. Measure output every 1 hr & replace it in next 1 hr. Nephrologist will decide whether to keep equal balance or make him -ve as per the amount of fluid retained. every 6 hrs S K if out put is too much. As you may have to replace potassium . If out put is not too much it can be done every 12 hrs.