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Medical: 5 Renal/Urology: 7

          • (c)

            Increased renal systemic vascular resistance ratio

          • (d)

            Diseases of renal parenchyma

            • i)

              Renovascular obstruction

            • ii)

              Glomerular renal microvasculature

            • iii)

              Acute tubular necrosis

            • iv)

              Interstitial nephritis

          • (e)

            Acute obstruction of the urinary tract

            • i)

              Ureter

            • ii)

              Bladder neck

            • iii)

              Urethra

          • (f)

            Hyperkalemia

          • (g)

            Metabolic acidosis

    • 2.

      Assessment findings

      • a.

        History

        • (1)

          Oliguria/ anuria

        • (2)

          Edema

        • (3)

          Acidosis

      • b.

        Physical

        • (1)

          Altered level of consciousness

        • (2)

          Skin

          • (a)

            Pale

          • (b)

            Cool

          • (c)

            Moist

        • (3)

          Cardiovascular

          • (a)

            Hypotension

          • (b)

            Tachycardia

          • (c)

            ECG findings

        • (4)

          Inspect abdomen

          • (a)

            Scars

          • (b)

            Ecchymosis

          • (c)

            Contour

            • i)

              Bulges

            • ii)

              Symmetry

        • (5)

          Auscultate

        • (6)

          Palpate

      • c.

        Assessment tools

        • (1)

          Hematocrit

        • (2)

          Urinalysis

    • 3.

      Management

      • a.

        Airway and ventilatory support

        • (1)

          High flow oxygen

      • b.

        Circulatory support

        • (1)

          Positioning

        • (2)

          Consider fluid bolus or resuscitation

        • (3)

          Consider fluid lavage

      • c.

        Psychological support

      • d.

        Transport consideration

  • B.

    Chronic renal failure

    • 1.

      Epidemiology

      • a.

        Incidence

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────────────────────────── United States Department of Transportation National Highway Traffic Safety Administration Paramedic: National Standard Curriculum

5

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