An adult male is brought to the emergency after an accident with concussion and deep laceration on right thigh, he lost 4 units of blood, fluid administered, urine catheter put in, and he continues to have significant oozing from his wound. Urine volume in 24 hrs is 350 ml with high osmolality and low urine sodium. Platelet is 250,000, bleeding time and aPTT time are both extended.
-a) What kind of renal failure is developing and why?
-b) If adequate treatment is not given, what other condition can be developed and why?
-c) What can prevent further condition from occurring?
- d) What other data other than urine can be collected to evaluate the patient renal function?
-e) If the renal function keeps diminishing without improvement, what will be a subsequent stage of the renal disorder?
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