Reference no: EM132581941

A 30 year old male reported to the moi Referral Hospital 48 h after motor accident with Multiple injuries. Hos Laboratory investigations and results were:

Serum: urea 20.5 mmol/l, creat 450 μmol/l, Na+ 140 mmol/l, K+ 6.0 mmol/l; HCO3 15 mmol/l

Urine: urea 74 mmol/l (N 250-600 mmoles/day), creat 1500 umol/l (N 7-17 mmoles/day), Na+ 90mmol/l, Cl- 100 mmol/l, urine osmol 350 mosm/l, urine output 400 ml/24 h

i. Comment on the urea and creatinine output.

ii. What diagnosis is suggested, and by what specific tests ?

iii. Why is the plasma potassium elevated?

iv. What is the danger associated with hyperkalemia?

v. What can be done to treat the hyperkalemia acutely?

vi. Comment on this patient's fluid requirements. Would an infusion of several litres of intravenous fluid be beneficial?