Oligüri - Anüri

Year 2016, Volume: 20 Issue: 1, 16 - 23, 01.06.2016

Neriman Zengin

Abstract

Kritik hastalarda akut böbrek hasarının tanısında anüri ve oligüri serum kreatinin değeri
yükselmeden önce önemli bir göstergesi ortaya çıkan olarak semptomlardır. Her iki semptom hastalarda
birçok komplikasyonun gelişmesine yol açan ve mortalite riskini artıran önemli bir sorundur.
Bu nedenle yoğun bakım hemşireleri anüri ve oligüriye neden olan faktörleri bilmeli ve
yönetebilme beceri ve bilgisine sahip olmalıdır. Bu derlemede genel olarak anüri ve oligüri ve hem-
şirelik bakımı incelenmiştir.

Keywords

Yoğun bakım, olügüri, anüri, hemşirelik bakımı

Oliguria-Anuria

Abstract

Before the rise of serum creatinine in the diagnosis of acute kidney injury in critically
ill patients occurs often anuria and oliguria as symptoms and both symptoms is accepted as an important
indicator. Both symptoms led to the development of many complications in intensive care
unit patients and is a major problem that increases the risk of mortality. Therefore, anuria and intensive
care nurses should know the factors causing the oliguric and they must have the skills and
knowledge to manage these symptoms. In this review, in generally anuria and oliguria and nursing
care were examined.

Keywords

Intensive care, oliguria, anuria, nursing care

References

• Time-Limited Encounter. 3rd ed. Philadelphia:
• Lippincott Williams & Wilkins; 2014. p. 216-41. 8. Cerda J. Oliguria: an earlier and accurate bio
• marker of acute kidney injury? Kidney Inter
• national. 2011;80(7):699-701. 9. Sladen RN. Oliguria in the ICU: systematic ap
• proach to diagnosis and treatment. Anesthe
• siology Clinics of North America.
• ;18(4):739-52. 10. Case J, Khan S, Khalid R, Khan A. Epidemi
• ology of acute kidney injury in the intensive
• care unit. Crit Care Res Pract.
• ;2013:479730. 11. Follin SA, Ambrose MS, McGovern K, Bilotta
• K. Rapid assessment : a flowchart guide to
• evaluating signs and symptoms: Wolters
• Kluwer Health/Lippincott Williams & Wilkins; 2009. 12. McMahon BA, Phelan D, Murray PT. Oliguria
• and anuria: European Society of Intensive
• Care Medicine; 2010 [updated 2010. Available from: 13. Yeğenağa I. Yoğun Bakım Hastalarında Akut
• Böbrek Hasarı. Turkiye Klinikleri J Nephrol
• Special Topics. 2014;7(1):31-6. 14. KDIGO Clinical Practice Guideline for Acute
• Kidney Injury. Kidney Inter. 2012;2(1):1-138. 15. Prowle JR, Liu YL, Licari E, Bagshaw SM, Egi
• M, Haase M, et al. Oliguria as predictive bio
• marker of acute kidney injury in critically ill pa
• tients. Crit Care. 2011;15(4):R172. 16. Davies H, Leslie G. Acute kidney injury and the critically ill patient. Dimens Crit Care Nurs.
• ;31(3):135-52. 17. Monaghan K, Nolan B, Labato M. Feline acute
• kidney injury: Pathophysiology, etiology and
• etiology-specific management considerations.
• Journal of Feline Medicine and Surgery.
• ;14(11):775-84. 18. Kellum JA. Treatment of Acute Oliguria.In:
• Newman MF, Fleisher LA, Fink MP, editors.
• Perioperative Medicine. 1st ed: Saunders; 2007. 19. Verhatarman R, Kellum JA. Treatment of
• acute oliguria. In: Newman MF, Fleisher LA,
• Fink MP, editors. Perioperative Medicine:
• Managing for Outcome: Saunders Elsevier;
• p. 261-6. 20. Macedo E, Malhotra R, Claure-Del Granado
• R, Fedullo P, Mehta RL. Defining urine output
• criterion for acute kidney injury in critically ill
• patients. Nephrology, Dialysis, Transplanta
• tion : Official Publication of the European Dial
• ysis And Transplant Association - European
• Renal Association. 2011;26(2):509-15. 21. Bagshaw SM, George C, Dinu I, Bellomo R. A
• multi-centre evaluation of the RIFLE criteria
• for early acute kidney injury in critically ill pa
• tients. Nephrology, Dialysis, Transplantation:
• Official Publication of the European Dialysis
• And Transplant Association - European Renal
• Association. 2008;23(4):1203-10. 22. Bagshaw SM, George C, Gibney RT, Bellomo
• R. A multi-center evaluation of early acute kid
• ney injury in critically ill trauma patients. Ren
• Fail. 2008;30(6):581-9. 23. Macedo E, Malhotra R, Bouchard J, Wynn SK,
• Mehta RL. Oliguria is an early predictor of
• higher mortality in critically ill patients. Kidney
• Int. 2011;80(7):760-7. 24. Jacques T, Hillman K, Fisher M, Fraser K,
• Reece G. Detect Manual: Detecting Deterio
• ration Evaluate Treatment Escalation, Com
• municating in Teams: T. Jacques , M. Fisher,
• K. Hillman, & K. Fraser.; 2012. 25. Subramanian S, Kellum JA, Ronco C. Olig
• uria. In: Ronco C, Bellomo R, Kellum JA, edi
• tors. Critical Care Nephrology: Elsevier Health
• Sciences; 2009. p. 341-4. 26. Fogel RI, Endreny RG, Cronan JJ, Chazan
• JA. Acute renal failure with anuria caused by
• aortic thrombosis and bilateral renal artery oc
• clusion. A report of two cases. R I Med J.
• ;70(11):501-4. 27. Funderburk MW. Oliguria and Anuria. In: Paul- man PM, Paulman AA, Harrison JD, editors.
• Taylor's 10-Minute Diagnosis Manual: Symp
• toms and Signs in the Time-Limited Encoun
• terr 2nd ed. Philidelpiha, USA: Lippincott
• Williams & Wilkins; 2007. p. 226-8. 28. Osorio C. Care of the Acutely Ill Adult: An Es
• sential Guide for Nurse. New York: Oxford
• University Prees; 2010. 143-64 p. 29. Kowalak JD, Munden J. Nursing interpreting
• signs symptoms. USA: Lippincott Willams Wilkins; 2008. 30. Morgan DJ, Ho KM. A comparison of nonolig
• uric and oliguric severe acute kidney injury ac
• cording to the risk injury failure loss end-stage
• (RIFLE) criteria. Nephron Clin Pract.
• ;115(1):c59-65. 31. Okusa M, Rosner M, Palevsky P. Overview of
• the management of acute kidney injury (acute
• renal failure). UpToDate Palevsky, PM (ed),
• UpToDate, Waltham, MA. 2014. 32. Domino FJ. The 5-Minute Clinical Consult
• Philadelphia: Lippincott Williams &
• Wilkins. 22nd Edition 2014 [ A-2-A-187]. 33. Venkataraman R, Kellum JA. Acute renal fail
• ure in the critically ill. Current Opinion in Anes
• thesiology. 2005;18(2):117-22. 34. Godin M, Bouchard J, Mehta RL. Fluid bal
• ance in patients with acute kidney injury:
• emerging concepts. Nephron Clin Pract.
• ;123(3-4):238-45. 35. Jevon P. How to ensure patient observations
• lead to effective management of oliguria. Nurs
• Times. 2010;106(7):18-9. 36. Kahan S, Miller R, Smith EG. In a Page Signs
• & Symptoms. 2ed: Lippincott Williams & Wilkins; 2008. 37. Uppalapati A, Kellum JA. Oliguria, clinical sig
• nificance. Encyclopedia of Intensive Care
• Medicine: Springer; 2012. p. 1616-8.