Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with sudden onset oliguria/anuria following a major obstetric event [e.g., placental abruption, amniotic fluid embolism] or severe hypotensive shock. Clinical course marked by rapid decline in GFR, flank pain, and hematuria.
Clinical Examination Findings
Patient appears acutely ill, lethargic, and potentially volume-overloaded. Skin may show signs of disseminated intravascular coagulation (DIC) or peripheral cyanosis. Vital signs reveal persistent hypotension or labile blood pressure.
Treatment Protocol
Immediate stabilization of hemodynamics. Initiation of renal replacement therapy (RRT/hemodialysis) is typically required. Management of underlying coagulopathy and potential surgical intervention for obstetric source control. Strict fluid balance and electrolyte monitoring.