Right Blunt kidney injury grade II with Open Comminuted fracture both bone right leg with closed ...

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Right Blunt kidney injury grade II with Open Comminuted fracture both bone right leg with closed fracture left intertrochanteric by Mind Map: Right Blunt kidney injury grade II with Open Comminuted fracture both bone right leg with closed fracture left intertrochanteric

1. Truma

1.1. Comminude fracture bote bone right leg

1.1.1. Tibia

1.1.2. Fibular

1.1.3. Inflammatory

1.1.3.1. Vasodilation

1.1.3.1.1. Increase blood flow

1.1.4. Open fracture

1.1.4.1. Push into the blooding strem cushing high blood in the blood

1.1.4.1.1. Calcium สูง

1.1.5. Calcium loss in skin

1.1.5.1. Calcium ต่ำ

1.1.6. Set OR for BKA

1.1.6.1. Blood loss 400 cc.

1.2. Blunt abdominal injury

1.2.1. Kidney injury grad 2

1.2.1.1. Reduce eGFR

1.2.1.2. Rising, BUN,Cr, Phosphase

1.2.2. Set OR for EL kidney stop bleed

1.2.2.1. Blood loss 750 cc.

1.2.3. Inflammation

1.2.3.1. Excessive activation of the coagulation

1.2.3.1.1. Fibrinolysis

1.3. NPO

1.4. Intertrochanteric fracture

1.4.1. Close fracture

1.4.1.1. frace greater

1.4.1.2. fracture lesser

1.4.1.2.1. Stable fracture

2. AKI

2.1. Reduce Urine Out put

2.1.1. CBI

2.2. Decease lid potassium

2.2.1. Hyperkalamia

2.2.1.1. Seizure

2.2.1.2. Sinus tachycardia

2.2.1.2.1. Cardiac arrest

2.3. Reduce Erythroprotein

2.3.1. Anemia

2.3.1.1. Dyspnea

2.3.1.1.1. On ET tube with VCV mode

2.3.1.2. Fatique, Pale

2.3.1.3. Tissue hypoxia

2.3.1.3.1. Metobolic acidosis

2.4. Renal Ischemia

2.4.1. Reduce perfusion

2.4.1.1. Hypotension

2.4.1.1.1. High HR