Pregnancy complicated by acute renal failure requiring hemodialysis.
The goal of a successful, full-term vaginal birth of a healthy infant was achieved while avoiding acidosis, hyperkalemia, and fluid overload in this pregnant patient with ARF. Acting in a prudent manner to prevent potential life-threatening complications was of paramount importance in this patient whose etiology of renal failure was uncertain. In the case of the pregnant patient, an ultrasound may not be as valuable a diagnostic tool when the enlarged gravid uterus cannot allow complete visualization of the ureters. Interdepartmental collaboration in the case of this challenging patient resulted in a mutual learning experience, while ensuring a safe delivery for both mother and child. Additionally, by working together, the professional staff enhanced the patient's ability to meet the expected outcomes.
Devlin
K
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D058186:Acute Kidney Injury / Q000628:therapy*; D000328:Adult; D005260:Female; D006801:Humans; D010347:Patient Care Planning; D011247:Pregnancy; D011248:Pregnancy Complications / Q000628:therapy*; D006435:Renal Dialysis / Q000451:nursing*