James talks to Dr Rob Hislop about the approach to oliguria, low urine output, on the wards.
Script Writer: Abhijit Pal
Summary Writer: Abhijit Pal
Editor: James Edwards
Interviewee: Rob Hislop
Dr Robert Hislop is the Intensive Care Head of Department at the Mater Hospital and Staff Specialist Intensivist at the Royal Prince Alfred Hospital, Sydney. Rob is a Clinical Lecturer at the University of Sydney and has a strong interest in Echocardiography, Clinical Governance and Quality, Healthcare in the developing world and medical education. Rob is also an active volunteer at Open Heart International.
With Dr Robert Hislop (ICU Consultant at Royal Prince Alfred Hospital)
You are night cover on a surgical ward, and nursing staff ask you to see a patient Day 1 post-op with poor urine output. For the last 2 hours, 20 ml/h urine output. Can you chart a fluid bolus?
Firstly, DO NOT just give 500 ml fluid stat and hope it fixes the problem. Do not just give the patient frusemide.
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