Oliguric: due to having too much urine

Often a result of CKD

Considerations

1. CKD is CVD-equivalent
   1. CAD
   2. ↑High BP
2. Renal Dosing Protocol → Accumulation of renally-excreted drugs
3. Polypharmacy: reconciliation and blister pack

Manifestation and Management

• Mild: ‣ - ‣)
• Severe: ‣ | ‣ (‣, pH) | ‣ (Temporizing measure) | | | ‣, ‣ (Cardio-renal) | ‣, ‣ | ‣ (e.g. ‣) | | Failure to excrete nitrogen waste | ‣ | ‣ | ‣ | | Failure to produce and metabolize hormones | ‣ dys-regulation | ↑High BP, ‣ (K+) | ‣, other ‣ | | | EPO → ‣→ Higher risk of LVH | ‣ (CBC) | ‣ (don’t exceed Hb = 115) | | | 1, 25 VD → ‣ ‣ (low Ca, VD; high PO3, PTH) Chronic: ‣ | ‣, ‣, ‣ (1,2) | ‣, ‣ (During Meal → Bind PO3) ‣ (Between meal) Low salt/PO3/protein diet |

CKD Lab Result

Referal

Refer to Nephrologist: Severe Renal Failure (< 30)