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Disminución del gasto urinario - Overview

Nombres alternativos

Oliguria

Definición:

Es la reducción en la producción de orina a menos de 500 mililitros en 24 horas.

Consideraciones:

Aunque una disminución significativa en el gasto urinario o diuresis puede ser indicio de una afección grave e incluso potencialmente mortal, el gasto urinario adecuado se puede restablecer con un tratamiento médico oportuno.

Causas:

  • Deshidratación por vómito, diarrea o fiebre, con una falta de ingestión adecuada de líquidos
  • Obstrucción total de las vías urinarias, como la ocasionada por el agrandamiento de la próstata
  • Infección severa o cualquier otra afección médica que ocasiona shock
  • Uso de ciertos medicamentos como anticolinérgicos, metotrexato y diuréticos
  • Reviewed last on: 9/30/2009
  • David C. Dugdale, III, MD, Professor of Medicine, Division of General Medicine, Department of Medicine, University of Washington School of Medicine; Scott Miller, MD, Urologist in private practice in Atlanta, Georgia. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

Referencias

Gerber GS, Brendler CB. Evaluation of the urologic patient: History, physical examination, and the urinalysis. In: Wein AJ, ed. Campbell-Walsh Urology. 9th ed. Philadelphia, Pa: Saunders Elsevier; 2007: chap 3.

Molitoris BA. Acute kidney injury. In: Goldman L, Ausiello D, eds. Cecil Medicine. 23rd ed. Philadelphia, Pa: Saunders Elsevier; 2007:chap 121.

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