Tasty Morsels of EM 060 – Urostomies and acid base

27 Nov

urostomy acid base featured

A chap with a 6 month old ileal conduit for urinary diversion rocks up to your ED feeling more than a little unwell.

A VBG done at triage is like this:

VBG urosotomy

What’s the deal?

The reference

  • Tanrikut C, McDougal WS. Acid-base and electrolyte disorders after urinary diversion. World J Urol. 2004 Jul 29;22(3):168–71. [PubMed]

Types of urinary diversion

 

General issues

 

Metabolic disturbances

 

Management

Leave a Reply

Your email address will not be published. Required fields are marked *

This site uses Akismet to reduce spam. Learn how your comment data is processed.