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You are caring for a patient and suspect that he is at risk for acute kidney injury. Given your knowledge about the renal system, what would be the acceptable urine output (in mL per hour) for this patient if he weighed 363 pounds? (Round to the nearest whole number.
Answer and Explanation

The Correct Answer is ["82.5"]

The general rule of thumb for urine output is 0.5 mL/kg/hour.

Step 1: Convert the patient's weight from pounds to kilograms.

We know that 1 kg = 2.2 lbs.

So, we have:

363 lbs ÷ 2.2 = 165 kg (rounded to the nearest whole number)

Step 2: Calculate the urine output using the rule of 0.5 mL/kg/hour. So, we have:

165 kg × 0.5 mL/kg/hour = 82.5 mL/hour


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Related Questions

Correct Answer is D

Explanation

Choice A reason: Pre-Renal failure is caused by factors external to the kidneys, typically involving reduced blood flow or hydration affecting kidney function. Gentamicin does not typically cause this type of failure.
Choice B reason : 'Super-secret double renal failure' is not a medically recognized type of renal failure.
Choice C reason : Post-Renal failure is due to obstruction of urine flow from the kidneys, which is not typically associated with Gentamicin use.
Choice D reason : Intra-Renal failure, also known as intrinsic renal failure, is caused by direct damage to the kidneys themselves. Gentamicin can cause acute kidney injury due to its nephrotoxic effects, leading to Intra-Renal failure.

Correct Answer is B

Explanation

Choice A reason: Inadequate retention of serum sodium is not typically associated with anemia in chronic renal failure.

Choice B reason: Inadequate production of erythropoietin is the correct answer because the kidneys produce erythropoietin, which stimulates the bone marrow to produce red blood cells. In chronic renal failure, the kidneys cannot produce enough erythropoietin, leading to anemia.

Choice C reason: While blood loss in the urine can occur, it is not the primary cause of anemia in chronic renal failure.

Choice D reason: Renal desensitization to Vitamin D affects bone health and calcium levels but is not the primary cause of anemia in chronic renal failure.

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