Utilidad del citoquímico urinario en cuidados intensivos, una herramienta olvidada

Jorge Rico Fontalvo; Rodrigo Daza Arnedo; Juan Gutiérrez Ariza; Oscar Soto Guerrero; Beatriz Suarez Romero; Ángel Vásquez Jiménez; Dairo Rodelo; Esteban Díaz Suárez; Tomas Rodríguez Yánez; Valentina Ortiz Márquez; Lourdes Carolina Vázquez Jiménez

Autores/as

Jorge Rico Fontalvo Asociación Colombiana de Nefrología e HTA. Bogotá, Colombia https://orcid.org/0000-0002-2852-1241
Rodrigo Daza Arnedo Asociación Colombiana de Nefrología e HTA. Bogotá, Colombia https://orcid.org/0000-0002-6295-4972
Juan Gutiérrez Ariza Clínica La Ermita de Cartagena. Cartagena, Colombia https://orcid.org/0000-0002-2891-4125
Oscar Soto Guerrero Clínica La Ermita de Cartagena. Cartagena, Colombia https://orcid.org/0009-0007-9267-0704
Beatriz Suarez Romero Clínica La Ermita de Cartagena. Cartagena, Colombia https://orcid.org/0000-0003-2123-2671
Ángel Vásquez Jiménez Clínica La Ermita de Cartagena. Cartagena, Colombia https://orcid.org/0000-0002-1783-2562
Dairo Rodelo Universidad Simón Bolívar, Medicina Crítica y Cuidados Intensivos. Barranquilla, Colombia https://orcid.org/0009-0003-8743-3246
Esteban Díaz Suárez Universidad Simón Bolívar. Facultad de Medicina. Barranquilla, Colombia https://orcid.org/0009-0006-6775-0414
Tomas Rodríguez Yánez Universidad de Cartagena, Medicina Crítica y Cuidados Intensivos. Cartagena, Colombia https://orcid.org/0000-0001-9251-9376
Valentina Ortiz Márquez Universidad de la Sabana, Facultad de Medicina. Bogotá, Colombia https://orcid.org/0009-0003-7119-5079
Lourdes Carolina Vázquez-Jiménez Universidad Nacional del Asunción, Facultad de Ciencias Médicas, Hospital de Clínicas, Departamento de Nefrología. San Lorenzo, Paraguay https://orcid.org/0000-0003-1416-552X

Palabras clave:

citoquímico de orina, sedimento urinario, sepsis, lesión renal aguda, falla cardiaca

Resumen

El sedimento urinario es una herramienta utilizada hace tantos años para caracterizar manifestaciones renales de enfermedades primarias y secundarias, que es necesario realizar una estandarización y aprender a interpretar el mismo. En los pacientes ingresados a la unidad de cuidados intensivos, muchas veces no se realiza, o hay que tener en cuenta varios factores para su interpretación debido al estado hemodinámico del paciente a la filtración glomerular, la excreción tubular, la reabsorción de agua y los solutos además del equilibrio acido-base, los cuales pueden variar significativamente en pacientes en estado crítico con diferentes condiciones fisiopatológicas. Se presenta una revisión de las condiciones para la interpretación del urianálisis.

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Citas

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