Tricks of the trade – what your patient’s urine collection bag is telling you.

 

urcn02

yellow =  normal

uryll

darker yellow = concentrated urine (patient may be dehydrated)

urtrm

red (non-translucent) = traumatic catheter insertion / traumatized genitourinary (GU) system.

urmhbur

red (translucent) = hemoglobinurea (free hemoglobin in urine) >> may cause acute renal failure > keep patient mildly alkalemic to avoid free hemoglobin-distal convoluted tubule complexes from forming.

urmtlynbl

green / light blue – patient may be receiving MethleneBlue intravenously as “nitric oxide scavenger” therapy (MORE TO FOLLOW).  or after abdominal surgery (if JP drains drain from the abdomen, there is a vascular leak in the abdomen (MORE TO FOLLOW).

urlsx

near clear = likely a “forced” diuresis (ex. Lasix)

urbldirgn

red (from dark red > to light red > to clear) – likely, ongoing bladder irrigation as a washout of bladder.

urbldirgnii

2 bottles hanging  are infusing into the bladder – to be followed by release of bladder irrigant into urine collection bag.

BiVent as a Quick Differentially Diagnosing Tool For Elucidating Pathologic Disease

Please enjoy this presentation on BiVent.

As with any discussion, please discuss enacting BiVent with your medical director, resp dept director, supervisors, managers, coordinators, resp peers, medical attending, medical resident, icu intensivist, physician’s assistant, nurse practioner, and nurse.

We present it as a differentially diagnosing tool to keep amidst our armamentarium of tools.

The beauty of this paradigm is that while awaiting any other tool required to diagnose or “rule-in” another diagnosis, the diagnosis of “run away atelectasis” can be ruled-in or ruled-out starting immediately.

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