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About this activity

Actividad dinámica para el seminario de Diuréticos

Created by

Melany Patiño Cardona
Melany Patiño Cardona
Colombia

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Casos clínicos
 

Casos clínicosOnline version

Actividad dinámica para el seminario de Diuréticos

by Melany Patiño Cardona
1

Paciente Juan Pérez de 35 años de edad, 70 kg de peso, consulta por dolor abdominal y sensación de sed, se nos informa que eliminó 290 ml en las últimas 12 horas ¿Cuál es el gasto urinario del paciente?

2

¿En qué estado urinario se encuentra el paciente?

3

¿Cuál cree que es el tratamiento?

4

Paciente Carlos López 60 años de edad, 50 kg de peso, consulta por dificultad para orinar, hinchazón en piernas y abdomen, se nos informa que eliminó 50 ml en las últimas 4 horas. En la historia clínica encontramos que el paciente tiene antecedentes de enfermedad renal. ¿Cuál es el gasto urinario?

5

¿En qué estado urinario se encuentra el paciente?

6

¿Cuál cree que es el tratamiento?

Explicación

Eliminado: 290 ml Peso: 70k Tiempo: 12 horas 290ml/70kg/12h=0.3ml/k/h

Oligurico, porque está eliminando menos de lo normal que es de 0.5 a 1 ml/k/h

Cristaloides ya que el paciente se encuentra deshidratado.

Eliminó: 50 ml Peso: 50 kg Tiempo: 4 horas 50ml/50kg/4h=0,25 ml/(kg·h)

Oligurico, porque está eliminando menos de lo normal que es de 0.5 a 1 ml/k/h

Administrar diuréticos ya que tiene antecedentes de problemas renales.

 
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