TY  - CHAP
M1  - Book, Section
TI  - Renal Replacement Therapies
A1  - Davenport, Andrew
A2  - Lee, Kiwon
PY  - 2017
T2  - The NeuroICU Book, 2e
AB  - A  26-year-old  woman  was  admitted  following  a  horse-riding  accident.  She  had  fractured  her  femur  and  suffered  an  intracranial  hemorrhage.  Postoperatively  she  required  mechanical  ventilation  and  then  developed  a  respiratory  tract  infection.  On  the  3rd  hospital  day,  her  urine  output  had  fallen  to  0.5  mL/kg/h,  and  her  serum  creatinine  had  risen  from  0.5  mg/dL  on  admission  to  1.24  mg/dL.  At  this  stage  her  intracranial  pressure  (ICP),  measured  with  an  intraventricular  catheter,  remained  elevated  at  35  mm  Hg,  with  a  mean  arterial  blood  pressure  of  90  mm  Hg.  In  view  of  the  increase  in  creatinine  and  decrease  in  urine  output,  a  fluid  challenge  was  given  to  try  and  prevent  progression  of  acute  kidney  injury  (AKI),  to  exclude  a  volume-responsive  reversible  cause  of  AKI  (Table  48-1).  However,  by  the  following  day  her  urine  output  had  fallen  to  0.3  mL/kg/h,  and  the  creatinine  level  had  increased  to  2.0  mg/dL.  
SN  - 
PB  - McGraw-Hill Education
CY  - New York, NY
Y2  - 2024/04/20
UR  - neurology.mhmedical.com/content.aspx?aid=1143957640
ER  -