Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with acute kidney injury (AKI) following recent colonoscopy preparation using oral sodium phosphate solution. Reports symptoms of nausea, vomiting, lethargy, and decreased urine output starting [X] days post-procedure. No history of pre-existing chronic kidney disease or recent nephrotoxic medication use.
Clinical Examination Findings
Patient appears [distressed/lethargic]. Vitals: BP [X/X] mmHg, HR [X] bpm, Temp [X] C. Physical exam reveals signs of volume depletion including dry mucous membranes, decreased skin turgor, and orthostatic hypotension. No peripheral edema noted.
Treatment Protocol
Immediate cessation of phosphate-containing agents. Aggressive fluid resuscitation with isotonic saline to restore intravascular volume. Monitor serum electrolytes (Ca, PO4, K) and creatinine levels every 6-12 hours. Consider renal replacement therapy (RRT) if severe metabolic derangements or refractory oliguria persist.