A 70 year old man is 4 hours post right heme-colectomy for a tumor. The NP is called due to falling urine output since surgery.
Past medical history – hypertension, type 2 diabetes, gout
Medications – lisinopril, allopurinol, and spironolactone (all last given this morning).
Physical exam – BP 100/60. HR 110 regular weight 60 kg
Lungs are clear, abdominal wound is clean with no drainage, No JVD
Urine output
1700 hr. 35 ml
1800 hr 22 ml
1900 hr 15 ml
2000 hr. 8 ml
Urine dipstick is normal
How would you classify his renal status? How would you treat it?