Why would you be concerned

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Case: You are working on a telemetry unit and have just received a transfer from the ICU. The 65-year-old patient, Mr. K is day 3 after a three-vessel coronary bypass graft surgery (CABG). He has a history of hypertension (HTN), hyperlipidemia, and type 2 diabetes mellitus (DM) requiring insulin for the past 8 months to control his glucose levels. The ICU nurse tells you that there were complications during surgery and he received 3 units of blood to treat hypotension brought about blood loss sustained during the operation. Since surgery, Mr. K has experienced intermittent atrial fibrillation (Afib) that is under control with amiodarone and metoprolol. The nurse voices concern his urine output seems to be decreasing.

Four hours after admission to your floor, you note that Mr. K has had a total urine output of 50 mL of dark amber urine. Why would you be concerned?

You check the urinary catheter and tubing for obstructions and find none. What other assessments (in relation to decreased urine output) do you need to gather?

Reference no: EM133295626

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