What assessment finding in a multi-injured trauma patient indicates adequate …

Medicine Questions

What assessment finding in a multi-injured trauma patient indicates adequate end-organ perfusion? A. Urinary output 0.75 mL/kg/hr B. Capillary refill 3.5 seconds C. Capnography 34 mmHg (4.5 kPa) D. Pulse oximetry 90% on 4L oxygen

Short Answer

Assessing urinary output is crucial for evaluating organ perfusion, with a minimum of 0.75 mL/kg/hr indicating adequate function. Continuous monitoring is essential, as an output below 0.5 mL/kg/hr may suggest complications requiring immediate medical evaluation.

Step-by-Step Solution

Step 1: Understand Urinary Output

The first step is to recognize the significance of urinary output in assessing organ perfusion. A urinary output of 0.75 mL/kg/hr is considered the minimum for indicating adequate end-organ perfusion. This means the kidneys are effectively filtering blood, which reflects the overall blood supply to major organs.

Step 2: Analyze the Indications

Next, it’s essential to assess what the urinary output indicates about the patient’s condition. A consistent output of 0.75 mL/kg/hr suggests that the body maintains sufficient blood flow to critical areas, which is vital for multi-injured trauma patients. Conversely, output less than 0.5 mL/kg/hr signals potential complications regarding organ perfusion.

Step 3: Monitor and Act Accordingly

Finally, continuous monitoring of urinary output is necessary for timely intervention. If the output falls below the threshold, immediate medical evaluation is needed to address potential inadequate perfusion. Always prioritize tracking these key metrics for optimal patient management and intervention decisions.

Related Concepts

Urinary Output

The amount of urine produced by the kidneys, measured in milliliters per kilogram per hour, used as an indicator of kidney function and overall organ perfusion

Adequate End-Organ Perfusion

A condition where organs receive sufficient blood flow to function properly, indicated by urinary output levels of at least 0.75 ml/kg/hr

Monitoring

The continuous observation of a patient’s urinary output to detect changes that may indicate poor organ perfusion or other complications, allowing for timely medical intervention.

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