{"id":9336,"date":"2013-11-17T15:39:30","date_gmt":"2013-11-17T20:39:30","guid":{"rendered":"https:\/\/crashingpatient.com\/?p=9336"},"modified":"2013-11-17T15:42:31","modified_gmt":"2013-11-17T20:42:31","slug":"oliguria-urinary-electrolytes","status":"publish","type":"post","link":"https:\/\/crashingpatient.com\/intensive-care\/oliguria-urinary-electrolytes.htm\/","title":{"rendered":"Oliguria and Urinary Electrolytes"},"content":{"rendered":"<h3><span class=\"ez-toc-section\" id=\"Post_from_Nickson_on_Life_in_the_Fast_Lane\"><\/span>Post from <a href=\"http:\/\/lifeinthefastlane.com\/education\/ccc\/urinary-electrolytes\/\">Nickson on Life in the Fast Lane<\/a><span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p><strong>USES<\/strong><\/p>\n<p>Oliguria<\/p>\n<ul>\n<li>UNa+ low (&lt;10mmol\/L) \u2013 extravascular volume depletion<\/li>\n<li>UNa+ high (&gt;20) \u2013 tubular damage<\/li>\n<\/ul>\n<p>Hyponatraemia<\/p>\n<ul>\n<li>UNa+ low (&lt;10) \u2013 extra-renal losses<\/li>\n<li>UNa+ high (&gt;20) \u2013 renal salt losing states, SIADH, diuretic therapy<\/li>\n<li>Fractional excretion of Na+ = 100 x UNa+ x PCr \/ PNa+ x UCr<br \/>\n-&gt; &lt; 1% implies pre-renal cause, limited by Na+ intake and diuretics therapy<\/li>\n<\/ul>\n<p>Hypokalaemia<\/p>\n<ul>\n<li>UK+ high (&gt;20) \u2013 renal loss of K+<\/li>\n<li>UK+ low (&lt;20) \u2013 extrarenal loss of K+<\/li>\n<\/ul>\n<p>Normal Anion Gap Acidosis<\/p>\n<ul>\n<li>UCl- can be used<\/li>\n<li>UCl- low (&lt;10) \u2013 RTA from impaired urinary acidification (decreased ammonium excretion)<br \/>\n-&gt; also present = positive urinary anion gap and an inappropriately high pH (&gt;6)<\/li>\n<li>if acidosis is due to an extra-renal loss of bicarbonate, in the absence of renal failure the kidneys will excrete ammonium and chloride<br \/>\n-&gt; negative urinary anion gap (UCl &gt; Na + K)<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Excellent_Powerpoint\"><\/span>Excellent Powerpoint<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p><a href=\"https:\/\/crashingpatient.com\/wp-content\/uploads\/2013\/11\/Oliguria-by-Raimund-Pichler-M.D.pdf\">Oliguria by Raimund Pichler M.D<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Post from Nickson on Life in the Fast Lane USES Oliguria UNa+ low (&lt;10mmol\/L) \u2013 extravascular volume depletion UNa+ high (&gt;20) \u2013 tubular damage Hyponatraemia UNa+ low (&lt;10) \u2013 extra-renal losses UNa+ high (&gt;20) \u2013 renal salt losing states, SIADH, diuretic therapy Fractional excretion of Na+ = 100 x UNa+ x PCr \/ PNa+ x [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_genesis_hide_title":false,"_genesis_hide_breadcrumbs":false,"_genesis_hide_singular_image":false,"_genesis_hide_footer_widgets":false,"_genesis_custom_body_class":"","_genesis_custom_post_class":"","_genesis_layout":"","footnotes":""},"categories":[18,33],"tags":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v22.5 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Oliguria and Urinary Electrolytes - Crashing Patient<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/crashingpatient.com\/intensive-care\/oliguria-urinary-electrolytes.htm\/\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"CrashMaster\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"1 minute\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\/\/crashingpatient.com\/intensive-care\/oliguria-urinary-electrolytes.htm\/\",\"url\":\"https:\/\/crashingpatient.com\/intensive-care\/oliguria-urinary-electrolytes.htm\/\",\"name\":\"Oliguria and Urinary Electrolytes - Crashing Patient\",\"isPartOf\":{\"@id\":\"https:\/\/crashingpatient.com\/#website\"},\"datePublished\":\"2013-11-17T20:39:30+00:00\",\"dateModified\":\"2013-11-17T20:42:31+00:00\",\"author\":{\"@id\":\"https:\/\/crashingpatient.com\/#\/schema\/person\/68373c312014141023ba30948675be1d\"},\"breadcrumb\":{\"@id\":\"https:\/\/crashingpatient.com\/intensive-care\/oliguria-urinary-electrolytes.htm\/#breadcrumb\"},\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\/\/crashingpatient.com\/intensive-care\/oliguria-urinary-electrolytes.htm\/\"]}]},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\/\/crashingpatient.com\/intensive-care\/oliguria-urinary-electrolytes.htm\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\/\/crashingpatient.com\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Oliguria and Urinary Electrolytes\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\/\/crashingpatient.com\/#website\",\"url\":\"https:\/\/crashingpatient.com\/\",\"name\":\"Crashing Patient\",\"description\":\"\",\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\/\/crashingpatient.com\/?s={search_term_string}\"},\"query-input\":\"required name=search_term_string\"}],\"inLanguage\":\"en-US\"},{\"@type\":\"Person\",\"@id\":\"https:\/\/crashingpatient.com\/#\/schema\/person\/68373c312014141023ba30948675be1d\",\"name\":\"CrashMaster\",\"image\":{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\/\/crashingpatient.com\/#\/schema\/person\/image\/\",\"url\":\"https:\/\/secure.gravatar.com\/avatar\/df72275d57de87ddb0cfafc82b66d544?s=96&d=mm&r=g\",\"contentUrl\":\"https:\/\/secure.gravatar.com\/avatar\/df72275d57de87ddb0cfafc82b66d544?s=96&d=mm&r=g\",\"caption\":\"CrashMaster\"},\"url\":\"https:\/\/crashingpatient.com\/author\/emcrit\/\"}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"Oliguria and Urinary Electrolytes - Crashing Patient","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/crashingpatient.com\/intensive-care\/oliguria-urinary-electrolytes.htm\/","twitter_misc":{"Written by":"CrashMaster","Est. reading time":"1 minute"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"WebPage","@id":"https:\/\/crashingpatient.com\/intensive-care\/oliguria-urinary-electrolytes.htm\/","url":"https:\/\/crashingpatient.com\/intensive-care\/oliguria-urinary-electrolytes.htm\/","name":"Oliguria and Urinary Electrolytes - Crashing Patient","isPartOf":{"@id":"https:\/\/crashingpatient.com\/#website"},"datePublished":"2013-11-17T20:39:30+00:00","dateModified":"2013-11-17T20:42:31+00:00","author":{"@id":"https:\/\/crashingpatient.com\/#\/schema\/person\/68373c312014141023ba30948675be1d"},"breadcrumb":{"@id":"https:\/\/crashingpatient.com\/intensive-care\/oliguria-urinary-electrolytes.htm\/#breadcrumb"},"inLanguage":"en-US","potentialAction":[{"@type":"ReadAction","target":["https:\/\/crashingpatient.com\/intensive-care\/oliguria-urinary-electrolytes.htm\/"]}]},{"@type":"BreadcrumbList","@id":"https:\/\/crashingpatient.com\/intensive-care\/oliguria-urinary-electrolytes.htm\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https:\/\/crashingpatient.com\/"},{"@type":"ListItem","position":2,"name":"Oliguria and Urinary Electrolytes"}]},{"@type":"WebSite","@id":"https:\/\/crashingpatient.com\/#website","url":"https:\/\/crashingpatient.com\/","name":"Crashing Patient","description":"","potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/crashingpatient.com\/?s={search_term_string}"},"query-input":"required name=search_term_string"}],"inLanguage":"en-US"},{"@type":"Person","@id":"https:\/\/crashingpatient.com\/#\/schema\/person\/68373c312014141023ba30948675be1d","name":"CrashMaster","image":{"@type":"ImageObject","inLanguage":"en-US","@id":"https:\/\/crashingpatient.com\/#\/schema\/person\/image\/","url":"https:\/\/secure.gravatar.com\/avatar\/df72275d57de87ddb0cfafc82b66d544?s=96&d=mm&r=g","contentUrl":"https:\/\/secure.gravatar.com\/avatar\/df72275d57de87ddb0cfafc82b66d544?s=96&d=mm&r=g","caption":"CrashMaster"},"url":"https:\/\/crashingpatient.com\/author\/emcrit\/"}]}},"jetpack_featured_media_url":"","_links":{"self":[{"href":"https:\/\/crashingpatient.com\/wp-json\/wp\/v2\/posts\/9336"}],"collection":[{"href":"https:\/\/crashingpatient.com\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/crashingpatient.com\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/crashingpatient.com\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/crashingpatient.com\/wp-json\/wp\/v2\/comments?post=9336"}],"version-history":[{"count":0,"href":"https:\/\/crashingpatient.com\/wp-json\/wp\/v2\/posts\/9336\/revisions"}],"wp:attachment":[{"href":"https:\/\/crashingpatient.com\/wp-json\/wp\/v2\/media?parent=9336"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/crashingpatient.com\/wp-json\/wp\/v2\/categories?post=9336"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/crashingpatient.com\/wp-json\/wp\/v2\/tags?post=9336"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}