A 65-year-old man with hypertension and coronary artery disease but no previous kidney disease is seen by the renal consult service for decreased urine output and increased serum creatinine 1 day after undergoing a right hemicolectomy for colon cancer. The patient is in the intensive care unit and his blood pressure is 120/80 mmHg. His urine output for the last 24 h was 250 mL despite receiving 4 L of intravenous fluids. He is alert and oriented. Examination of the chest reveals faint crackles at both lung bases; the abdomen is slightly distended with decreased but present bowel sounds. He has trace lower extremity and sacral edema. His urine output did not increase following 200 mg of intravenous furosemide.
|Original language||English (US)|
|Title of host publication||Clinical Decisions in Nephrology, Hypertension and Kidney Transplantation|
|Publisher||Springer New York|
|Number of pages||14|
|ISBN (Print)||1461444535, 9781461444534|
|State||Published - Nov 1 2013|
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