किडनी के मरीजों में पेशाब कम होने का क्या कारण है? скачать в хорошем качестве

किडनी के मरीजों में पेशाब कम होने का क्या कारण है?

During the ICU teaching session, the nursing staff asked Dr. Abhishek Shukla about the reason for a patient’s progressively decreasing urine output. Dr. Shukla advised them to first carefully read and correlate the patient’s laboratory reports with the clinical condition. He pointed out that the patient’s blood urea level was 288 mg/dL, whereas the normal range is 0–40 mg/dL, and the serum creatinine was 7.05 mg/dL compared to a normal value of 0.7–1.2 mg/dL. These markedly elevated values clearly indicate severe renal dysfunction. Dr. Shukla explained that in this case the patient is suffering from renal failure, where the kidneys have acutely stopped functioning. This condition is known as Acute Tubular Necrosis (ATN), a common cause of acute kidney injury in critically ill patients. Due to kidney failure, toxic waste products like urea and creatinine accumulate in the blood, a condition called uremia. When these toxins cross the blood–brain barrier, the patient may develop altered sensorium, loss of consciousness, and inability to control bodily functions, known as uremic encephalopathy. To manage this critical condition, the patient is put on dialysis to remove toxins, while blood pressure and blood sugar are controlled using noradrenaline and insulin infusions. This systematic approach highlights the importance of timely diagnosis and multidisciplinary ICU management.