Treatments for Oliguria
Treatments for Oliguria
The list of treatments mentioned in various sources
for Oliguria
includes the following list.
Always seek professional medical advice about any treatment
or change in treatment plans.
- Treat underlying cause of renal failure
Drugs and Medications used to treat Oliguria:
Note:You must always seek professional medical advice about any prescription drug, OTC drug, medication, treatment
or change in treatment plans.
Some of the different medications used in the treatment of Oliguria include:
Latest treatments for Oliguria:
The following are some of the latest treatments for Oliguria:
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Book Excerpts: Treatment of Oliguria
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Hematuria:
Treatment
(In a Page: Signs and Symptoms)
-
Older patients with transient hematuria should always be evaluated due to increased risk of urinary tract cancers; refer to urologist for further evaluation and treatment
-
UTI: Start appropriate antibiotics and follow up with urinalysis to see if hematuria resolves
-
Glomerular sources (RBC casts, protein excretion >500 mg/dL, dysmorphic RBCs): Follow BUN/creatinine, blood pressure, creatinine clearance, and 24-hour urine protein, and refer for biopsy if worsening
-
Nonglomerular source (no RBC casts or dysmorphic RBCs in the urine): Urologic consult if imaging indicates a lesion (renal, bladder, or urethral)
-
Stones: Increase hydration, analgesics, urology referral for large or persistent stones
-
Myoglobinuria/hemoglobinuria: Treat underlying cause
-
Beeturia: Evaluate for iron deficiency or achlorhydria due to pernicious anemia, as treating these disorders may eliminate beeturia; eating foods high in oxalate (spinach, oysters) with beets can also cause beeturia
» READ BOOK EXCERPT ONLINE »
Source: In a Page: Signs and Symptoms, 2004
Hematuria:
Treatment
(In A Page: Pediatric Signs and Symptoms)
-
UTI: Empiric antibiotic (e.g., co-trimoxazole)
-
Manage hypertension
–ACE inhibitors or calcium channel blockers
–Consider diuretics if edematous
-
Suspected acute glomerulonephritis
–Low C3, evidence of recent strep or other infection
–Monitor urine output, weight, BP closely
–Daily outpatient visits until stable
–Inpatient admission if oliguria/edema is severe
–Once acute phase is over, monitor every 1–2 weeks and recheck C3 in 6–8 weeks
-
Nephrolithiasis: Increase fluid intake
–Sodium-restrict (do not calcium-restrict)
–Consult urology for severe pain or obstruction
-
Consult nephrology if hematuria persists or is associated with proteinuria, hypertension, persistently decreased C3, or abnormal creatinine
» READ BOOK EXCERPT ONLINE »
Source: In A Page: Pediatric Signs and Symptoms, 2007
Bladder distention:
Emergency interventions
(Handbook of Signs & Symptoms (Third Edition))
If the patient has severe distention, insert an indwelling urinary catheter to help relieve discomfort and prevent bladder rupture. If more than 700 ml is emptied from the bladder, compressed blood vessels dilate and may make the patient feel faint. Typically, the indwelling urinary catheter is clamped for 30 to 60 minutes to permit vessel compensation.
» READ BOOK EXCERPT ONLINE »
Source: Handbook of Signs & Symptoms (Third Edition), 2006
Anuria:
Emergency interventions
(Handbook of Signs & Symptoms (Third Edition))
After detecting anuria, your priorities are to determine if urine formation is occurring and to intervene appropriately. Prepare to catheterize the patient to relieve any lower urinary tract obstruction and to check for residual urine. You may find that an obstruction hinders catheter insertion and that urine return is cloudy and foul smelling. If you collect more than 75 ml of urine, suspect lower urinary tract obstruction; if you collect less than 75 ml, suspect renal dysfunction or obstruction higher in the urinary tract.
» READ BOOK EXCERPT ONLINE »
Source: Handbook of Signs & Symptoms (Third Edition), 2006
Bladder distention:
Emergency interventions
(Professional Guide to Signs & Symptoms (Fifth Edition))
If the patient has severe distention, insert an indwelling urinary catheter to help relieve discomfort and prevent bladder rupture. If more than 700 ml is emptied from the bladder, compressed blood vessels dilate, which may make the patient feel faint. Typically, the indwelling urinary catheter is clamped for 30 to 60 minutes to permit vessel compensation.
» READ BOOK EXCERPT ONLINE »
Source: Professional Guide to Signs & Symptoms (Fifth Edition), 2006
Hematuria:
Patient counseling
(Professional Guide to Signs & Symptoms (Fifth Edition))
Teach the patient how to collect serial urine specimens using the three-glass technique. This technique helps determine whether hematuria marks the beginning, end, or entire course of urination.
» READ BOOK EXCERPT ONLINE »
Source: Professional Guide to Signs & Symptoms (Fifth Edition), 2006
Anuria:
Emergency interventions
(Professional Guide to Signs & Symptoms (Fifth Edition))
After detecting anuria, your priorities are to determine if urine formation is occurring and to intervene appropriately. Prepare to catheterize the patient to relieve any lower urinary tract obstruction and to check for residual urine. You may find that an obstruction hinders catheter insertion and that urine return is cloudy and foul smelling. If you collect more than 75 ml of urine, suspect lower urinary tract obstruction; if you collect less than 75 ml, suspect renal dysfunction or obstruction higher in the urinary tract.
» READ BOOK EXCERPT ONLINE »
Source: Professional Guide to Signs & Symptoms (Fifth Edition), 2006
Bladder distention:
Nursing considerations
(Alarming Signs and Symptoms: Lippincott Manual of Nursing Practice Series)
Monitor the patient’s vital signs and the extent of bladder distention. Obtain bladder urinary volume with a bladder scanner. Encourage the patient to change positions to alleviate discomfort. Administer medications for pain relief.
Prepare the patient for diagnostic tests, such as endoscopy and radiologic studies, to determine the cause of bladder distention. Withhold fluids and food if surgery is indicated.
Patient teaching
If the patient doesn’t require immediate urinary catheterization, provide privacy and suggest that a normal voiding position be assumed. Teach Valsalva’s maneuver, or gently perform Credé’s maneuver. Use the power of suggestion to stimulate voiding. For example, run water in the sink, pour warm water over his perineum, place his hands in warm water, or play tapes of aquatic sounds.
» READ BOOK EXCERPT ONLINE »
Source: Alarming Signs and Symptoms: Lippincott Manual of Nursing Practice Series, 2007
Anuria:
Nursing considerations
(Alarming Signs and Symptoms: Lippincott Manual of Nursing Practice Series)
If catheterization fails to initiate urine flow, prepare the patient for diagnostic studies — such as ultrasonography, cystoscopy, retrograde pyelography, and renal scan — to detect an obstruction higher in the urinary tract. If these tests fail to reveal an obstruction, prepare the patient for further kidney function studies. If these tests reveal an obstruction, immediate surgery may be indicated to remove the obstruction, and a nephrostomy or ureterostomy tube may be inserted to drain urine.
Carefully monitor the patient’s vital signs and intake and output, initially saving any urine for inspection. Restrict daily fluid allowance to 600 ml more than the previous day’s total urine output. Restrict foods and juices high in potassium and sodium, and make sure that the patient maintains a balanced diet with controlled protein levels. Provide low-sodium hard candy to help decrease thirst. Record fluid intake and output, and weigh the patient daily.
Patient teaching
Explain all tests and procedures to the patient. Depending on the cause of anuria, review the disorder’s early warning signs and symptoms. If the patient requires surgery, withhold food and fluids. Review medications that may worsen renal function.
» READ BOOK EXCERPT ONLINE »
Source: Alarming Signs and Symptoms: Lippincott Manual of Nursing Practice Series, 2007
Bladder distention:
Emergency Actions
(Signs & Symptoms: A 2-in-1 Reference for Nurses)
If the patient has severe distention, insert an indwelling urinary catheter to help relieve discomfort and prevent bladder rupture. If more than 700 ml is emptied from the bladder, compressed blood vessels dilate and may make the patient feel faint. Typically, the indwelling urinary catheter is clamped for 30 to 60 minutes to permit vessel compensation.
» READ BOOK EXCERPT ONLINE »
Source: Signs & Symptoms: A 2-in-1 Reference for Nurses, 2007
Hematuria:
Patient counseling
(Signs & Symptoms: A 2-in-1 Reference for Nurses)
Teach the patient how to collect serial urine specimens using the three-glass technique. This technique helps determine whether hematuria marks the beginning, end, or entire course of urination. Encourage the patient to drink plenty of fluids, unless contraindicated.
» READ BOOK EXCERPT ONLINE »
Source: Signs & Symptoms: A 2-in-1 Reference for Nurses, 2007
Oliguria:
Patient counseling
(Signs & Symptoms: A 2-in-1 Reference for Nurses)
Explain applicable fluid restrictions or increases to the patient. For example, the patient with renal calculi may require increased fluids, whereas the patient with renal failure may need to restrict fluid intake. Review the prescribed diet with the patient, and obtain a nutritional consult, if necessary.
» READ BOOK EXCERPT ONLINE »
Source: Signs & Symptoms: A 2-in-1 Reference for Nurses, 2007
Anuria:
Emergency Actions
(Signs & Symptoms: A 2-in-1 Reference for Nurses)
After detecting anuria, your priorities are to determine if urine formation is occurring and to intervene appropriately. Prepare to catheterize the patient to relieve any lower urinary tract obstruction and to check for residual urine. You may find that an obstruction hinders catheter insertion and that urine return is cloudy and foul smelling. If you collect more than 75 ml of urine, suspect lower urinary tract obstruction; if you collect less than 75 ml, suspect renal dysfunction or obstruction higher in the urinary tract.
» READ BOOK EXCERPT ONLINE »
Source: Signs & Symptoms: A 2-in-1 Reference for Nurses, 2007
Bladder distention:
Nursing considerations
(Nursing: Interpreting Signs and Symptoms)
▪ Insert a urinary catheter to relieve distention. If a catheter is already in place, irrigate or replace it to improve function.
▪ Monitor the patient's vital signs, intake and output, and the extent of bladder distention.
▪ Encourage the patient to change positions to alleviate discomfort.
▪ Administer an analgesic, as appropriate.
▪ Prepare the patient for diagnostic tests (such as cystoscopy and radiologic studies) to determine the cause of bladder distention.
▪ Prepare the patient for surgery if interventions fail to relieve bladder distention and obstruction prevents catheterization.
▪ Provide privacy for voiding and encourage a normal voiding position.
Patient teaching
▪ Explain the underlying cause and treatment plan.
▪ Teach the patient to use Valsalva's maneuver or Credé's method to empty the bladder.
▪ Explain how to stimulate voiding or perform self-catheterization as appropriate.
» READ BOOK EXCERPT ONLINE »
Source: Nursing: Interpreting Signs and Symptoms, 2007
Hematuria:
Nursing considerations
(Nursing: Interpreting Signs and Symptoms)
▪ Check vital signs frequently.
▪ Monitor intake and output, including the amount and pattern of hematuria.
▪ If the patient has an indwelling urinary catheter in place, ensure its patency and irrigate it if necessary to remove clots and tissue that may impede urine drainage.
▪ Administer prescribed analgesics, and enforce bed rest as indicated.
▪ Prepare the patient for diagnostic tests, such as blood and urine studies, cystoscopy, and renal X-rays or biopsy.
▪ Monitor hemoglobin level and hematocrit; administer blood products as ordered.
Patient teaching
▪ Show the patient how to collect urine specimens.
▪ Emphasize the need to increase fluid intake.
▪ Explain the underlying cause of hematuria and its treatment.
» READ BOOK EXCERPT ONLINE »
Source: Nursing: Interpreting Signs and Symptoms, 2007
Oliguria:
Nursing considerations
(Nursing: Interpreting Signs and Symptoms)
▪ Monitor the patient's vital signs, intake and output, and daily weight.
▪ Depending on the cause of oliguria, restrict fluids to between 0.6 and 1 L more than the patient's urine output for the previous day.
▪ Provide a diet low in sodium, potassium, and protein.
▪ Prepare the patient for diagnostic tests, such as laboratory tests (including serum blood urea nitrogen and creatinine levels, urea and creatinine clearance, urine sodium levels, and urine osmolality), abdominal X-rays, ultrasonography, a computed tomography scan, cystography, and a renal scan.
▪ Prepare the patient for dialysis.
Patient teaching
▪ Explain any fluid and dietary restrictions.
▪ Explain the underlying disorder and the treatment plan.
» READ BOOK EXCERPT ONLINE »
Source: Nursing: Interpreting Signs and Symptoms, 2007
Anuria:
Nursing considerations
(Nursing: Interpreting Signs and Symptoms)
▪ If catheterization fails to initiate urine flow, prepare the patient for diagnostic studies—such as ultrasonography, cystoscopy, retrograde pyelography, and renal scan—to detect an obstruction higher in the urinary tract.
▪ If diagnostic tests reveal an obstruction, prepare him for immediate surgery to remove the obstruction, or to insert a nephrostomy or ureterostomy tube to drain the urine.
▪ If tests fail to reveal an obstruction, prepare the patient for further kidney function studies.
▪ Monitor the patient's vital signs and intake and output.
▪ Restrict daily fluid allowance to 600 ml more than the previous day's total urine output.
▪ Restrict foods and juices high in potassium and sodium, and make sure that the patient maintains a balanced diet with controlled protein levels.
▪ Provide low-sodium hard candy to help decrease thirst.
▪ Weigh the patient daily.
▪ Monitor laboratory studies, especially potassium levels.
▪ Monitor cardiac rhythm for arrhythmias.
Patient teaching
▪ Teach the patient about maintaining fluid restrictions and about dietary modifications, such as restricting potassium and sodium, as needed.
▪ Instruct the patient on nephrostomy tube or ureterostomy tube care if needed.
▪ Explain the disorder or cause of anuria and the treatment plan.
» READ BOOK EXCERPT ONLINE »
Source: Nursing: Interpreting Signs and Symptoms, 2007
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