Oligüri - Anüri

Kritik hastalarda akut böbrek hasarının tanısında anüri ve oligüri serum kreatinin değeri yükselmeden önce önemli bir göstergesi ortaya çıkan olarak semptomlardır. Her iki semptom hastalarda birçok komplikasyonun gelişmesine yol açan ve mortalite riskini artıran önemli bir sorundur. Bu nedenle yoğun bakım hemşireleri anüri ve oligüriye neden olan faktörleri bilmeli ve yönetebilme beceri ve bilgisine sahip olmalıdır. Bu derlemede genel olarak anüri ve oligüri ve hem- şirelik bakımı incelenmiştir.

Anahtar Kelimeler:

Yoğun bakım, olügüri, anüri, hemşirelik bakımı

Oliguria-Anuria

Before the rise of serum creatinine in the diagnosis of acute kidney injury in critically ill patients occurs often anuria and oliguria as symptoms and both symptoms is accepted as an important indicator. Both symptoms led to the development of many complications in intensive care unit patients and is a major problem that increases the risk of mortality. Therefore, anuria and intensive care nurses should know the factors causing the oliguric and they must have the skills and knowledge to manage these symptoms. In this review, in generally anuria and oliguria and nursing care were examined.

Keywords:

Intensive care, oliguria, anuria, nursing care,

PDF

___

Time-Limited Encounter. 3rd ed. Philadelphia:
Lippincott Williams & Wilkins; 2014. p. 216-41. 8. Cerda J. Oliguria: an earlier and accurate bio
marker of acute kidney injury? Kidney Inter
national. 2011;80(7):699-701. 9. Sladen RN. Oliguria in the ICU: systematic ap
proach to diagnosis and treatment. Anesthe
siology Clinics of North America.
;18(4):739-52. 10. Case J, Khan S, Khalid R, Khan A. Epidemi
ology of acute kidney injury in the intensive
care unit. Crit Care Res Pract.
;2013:479730. 11. Follin SA, Ambrose MS, McGovern K, Bilotta
K. Rapid assessment : a flowchart guide to
evaluating signs and symptoms: Wolters
Kluwer Health/Lippincott Williams & Wilkins; 2009. 12. McMahon BA, Phelan D, Murray PT. Oliguria
and anuria: European Society of Intensive
Care Medicine; 2010 [updated 2010. Available from: 13. Yeğenağa I. Yoğun Bakım Hastalarında Akut
Böbrek Hasarı. Turkiye Klinikleri J Nephrol
Special Topics. 2014;7(1):31-6. 14. KDIGO Clinical Practice Guideline for Acute
Kidney Injury. Kidney Inter. 2012;2(1):1-138. 15. Prowle JR, Liu YL, Licari E, Bagshaw SM, Egi
M, Haase M, et al. Oliguria as predictive bio
marker of acute kidney injury in critically ill pa
tients. Crit Care. 2011;15(4):R172. 16. Davies H, Leslie G. Acute kidney injury and the critically ill patient. Dimens Crit Care Nurs.
;31(3):135-52. 17. Monaghan K, Nolan B, Labato M. Feline acute
kidney injury: Pathophysiology, etiology and
etiology-specific management considerations.
Journal of Feline Medicine and Surgery.
;14(11):775-84. 18. Kellum JA. Treatment of Acute Oliguria.In:
Newman MF, Fleisher LA, Fink MP, editors.
Perioperative Medicine. 1st ed: Saunders; 2007. 19. Verhatarman R, Kellum JA. Treatment of
acute oliguria. In: Newman MF, Fleisher LA,
Fink MP, editors. Perioperative Medicine:
Managing for Outcome: Saunders Elsevier;
p. 261-6. 20. Macedo E, Malhotra R, Claure-Del Granado
R, Fedullo P, Mehta RL. Defining urine output
criterion for acute kidney injury in critically ill
patients. Nephrology, Dialysis, Transplanta
tion : Official Publication of the European Dial
ysis And Transplant Association - European
Renal Association. 2011;26(2):509-15. 21. Bagshaw SM, George C, Dinu I, Bellomo R. A
multi-centre evaluation of the RIFLE criteria
for early acute kidney injury in critically ill pa
tients. Nephrology, Dialysis, Transplantation:
Official Publication of the European Dialysis
And Transplant Association - European Renal
Association. 2008;23(4):1203-10. 22. Bagshaw SM, George C, Gibney RT, Bellomo
R. A multi-center evaluation of early acute kid
ney injury in critically ill trauma patients. Ren
Fail. 2008;30(6):581-9. 23. Macedo E, Malhotra R, Bouchard J, Wynn SK,
Mehta RL. Oliguria is an early predictor of
higher mortality in critically ill patients. Kidney
Int. 2011;80(7):760-7. 24. Jacques T, Hillman K, Fisher M, Fraser K,
Reece G. Detect Manual: Detecting Deterio
ration Evaluate Treatment Escalation, Com
municating in Teams: T. Jacques , M. Fisher,
K. Hillman, & K. Fraser.; 2012. 25. Subramanian S, Kellum JA, Ronco C. Olig
uria. In: Ronco C, Bellomo R, Kellum JA, edi
tors. Critical Care Nephrology: Elsevier Health
Sciences; 2009. p. 341-4. 26. Fogel RI, Endreny RG, Cronan JJ, Chazan
JA. Acute renal failure with anuria caused by
aortic thrombosis and bilateral renal artery oc
clusion. A report of two cases. R I Med J.
;70(11):501-4. 27. Funderburk MW. Oliguria and Anuria. In: Paul- man PM, Paulman AA, Harrison JD, editors.
Taylor's 10-Minute Diagnosis Manual: Symp
toms and Signs in the Time-Limited Encoun
terr 2nd ed. Philidelpiha, USA: Lippincott
Williams & Wilkins; 2007. p. 226-8. 28. Osorio C. Care of the Acutely Ill Adult: An Es
sential Guide for Nurse. New York: Oxford
University Prees; 2010. 143-64 p. 29. Kowalak JD, Munden J. Nursing interpreting
signs symptoms. USA: Lippincott Willams Wilkins; 2008. 30. Morgan DJ, Ho KM. A comparison of nonolig
uric and oliguric severe acute kidney injury ac
cording to the risk injury failure loss end-stage
(RIFLE) criteria. Nephron Clin Pract.
;115(1):c59-65. 31. Okusa M, Rosner M, Palevsky P. Overview of
the management of acute kidney injury (acute
renal failure). UpToDate Palevsky, PM (ed),
UpToDate, Waltham, MA. 2014. 32. Domino FJ. The 5-Minute Clinical Consult
Philadelphia: Lippincott Williams &
Wilkins. 22nd Edition 2014 [ A-2-A-187]. 33. Venkataraman R, Kellum JA. Acute renal fail
ure in the critically ill. Current Opinion in Anes
thesiology. 2005;18(2):117-22. 34. Godin M, Bouchard J, Mehta RL. Fluid bal
ance in patients with acute kidney injury:
emerging concepts. Nephron Clin Pract.
;123(3-4):238-45. 35. Jevon P. How to ensure patient observations
lead to effective management of oliguria. Nurs
Times. 2010;106(7):18-9. 36. Kahan S, Miller R, Smith EG. In a Page Signs
& Symptoms. 2ed: Lippincott Williams & Wilkins; 2008. 37. Uppalapati A, Kellum JA. Oliguria, clinical sig
nificance. Encyclopedia of Intensive Care
Medicine: Springer; 2012. p. 1616-8.