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A young alcoholic cirrhotic patient was brought to the ER with complaints of fever, respiratory distress, altered sensorium, and a drop in urine output in the last 24 h. On presentation, the patient was drowsy but arousable with GCS of 10/15, heart rate of 60/min, blood pressure of 90/50 mmHg, respiratory rate of 36/min, and SPO2 of 88% (on room air). Due to a compromised airway, the patient was intubated and put on mechanical ventilation; he was resuscitated with 2 L normal saline (NS), hemodynamic optimization was done, and started on NS @100 ml/h. Urine output over the next 6 h was only 50 ml. Laboratory investigations were done; arterial blood gas showed pH: 7.12, PCO2: 25.8, PO2: 95, HCO3: 10.2, lactate: 4.8; BUN 98, serum creatinine 4.2; S Na/K/Cl: 142/5.2/97.

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Renal Replacement Therapy

  • 章节

  • 发表日期：

    2025年

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  • Kanwalpreet Sodhi,
  • Pragyan Kumar Routray,
  • Rahul Kohli

摘要

A young alcoholic cirrhotic patient was brought to the ER with complaints of fever, respiratory distress, altered sensorium, and a drop in urine output in the last 24 h. On presentation, the patient was drowsy but arousable with GCS of 10/15, heart rate of 60/min, blood pressure of 90/50 mmHg, respiratory rate of 36/min, and SPO2 of 88% (on room air). Due to a compromised airway, the patient was intubated and put on mechanical ventilation; he was resuscitated with 2 L normal saline (NS), hemodynamic optimization was done, and started on NS @100 ml/h. Urine output over the next 6 h was only 50 ml. Laboratory investigations were done; arterial blood gas showed pH: 7.12, PCO2: 25.8, PO2: 95, HCO3: 10.2, lactate: 4.8; BUN 98, serum creatinine 4.2; S Na/K/Cl: 142/5.2/97.