Azotemia

First Things First (assess for & treat the following)

• Does pt have any electrolyte abnormalities that require immediate attention?
  • Serum Na < 120 or >150 mEq/L
  • K < 2.5 or >6.0 mEq/L
  • pH < 7.1
• Does pt have evidence of shock?
  • Severe hypovolemia or CHF (volume overload)
• Does pt have a “new” pericardial rub, ECG changes or evidence of cardiac tamponade?
• Is pt acutely encephalopathic or actively seizing?