Management of Renal Failure / Renal Trauma

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- 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