Paul is a 23-year-old. He was the victim of a hit-and-run auto-pedestrian accident and suffered multiple abrasions, a concussion, and a deep laceration of his left thigh. He was discovered approximately 2 hours after the incident and is now in the emergency department. Paul’s vital signs and hematocrit suggest that he has had a blood loss of about 2,500 ml. A urinary catheter is inserted to monitor urine output, and fluid resuscitation is initiated while his wounds are cleaned and sutured. The urine output is averaging 15 ml/hr, with a high urine osmolality and low urine sodium. 1. What type of renal failure is Paul likely developing? What data support this conclusion?

Biomedical Instrumentation Systems
1st Edition
ISBN:9781133478294
Author:Chatterjee
Publisher:Chatterjee
Chapter19: Biomedical Laboratory Instrumentation
Section: Chapter Questions
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Paul is a 23-year-old. He was the victim of a hit-and-run auto-pedestrian accident 
and suffered multiple abrasions, a concussion, and a deep laceration of his left 
thigh. He was discovered approximately 2 hours after the incident and is now in 
the emergency department. Paul’s vital signs and hematocrit suggest that he has 
had a blood loss of about 2,500 ml. A urinary catheter is inserted to monitor urine 
output, and fluid resuscitation is initiated while his wounds are cleaned and 
sutured. The urine output is averaging 15 ml/hr, with a high urine osmolality and 
low urine sodium. 

1. What type of renal failure is Paul likely developing? What data support this 
conclusion?

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