17 results
Approach to Oliguria 
Oliguria (urine output <0.3-0.5 cc/kg IBW) 

- Dr. Josh Farkas @PulmCrit

#Oliguria #Diagnosis #Management
Approach to Oliguria ... Oliguria (urine ... @PulmCrit #Oliguria
Normal urine output 
- 0.5 to 1.5 cc/kg/hour 
- A patient should be urinating at least
Oliguria - Decreased ... urine #output #oliguria
Westermark sign! (R pulmonary oligemia seen on CXR). Unicorns do exist! Seen in <2% of PE
-
(R pulmonary oligemia ... Westermark #Sign #Oligemia
Markers of Organ Dysfunction in Severe Sepsis 
Altered consciousness 
Confusion 
Psychosis 

Tachycardia 
Hypotension 
Altered CVP 
Altered
PT Albumin Oliguria
Algorithmic Approach to Acute Interstitial Nephritis
When to suspect AIN? (not sensitive)
 • AKI, AKD, rapidly progressive
unclear etiology; oliguria
Glomerular Diseases - Nephritic and Nephrotic Syndromes

Nephritic syndrome—due to GBM disruption. 
Hypertension. t BUN and creatinine.
and creatinine. oliguria
Diagnostic Criteria for Scleroderma Renal Crisis 

1. New onset blood pressure >150/85 mm Hg OR increase
microscopy - Oliguria
Definitions of AKI, CKD, AKD
Acute Kidney Injury (AKI):
 • Increase in SCr by 2 50% within
hours, OR • Oliguria
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM

INCLUSION CRITERIA
Acute Myocardial Infarction
 Ischemic Symptoms
 EKG and/or biomarker evidence of AMI
cool extremities, oliguria
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
> 100 BPM • Oliguria