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학습 자료 둘러보기 →The highest priority in the first 24 hours is hourly urine output monitoring. The remaining kidney undergoes hyperfiltration to compensate, creating a high risk for acute kidney injury (AKI).
A drop in urine output to less than 0.5 mL/kg/hr is the earliest and most sensitive clinical indicator of AKI. Immediate detection allows for prompt intervention to restore renal perfusion and prevent irreversible damage.
Do not delay reporting a decrease in urine output. Unrecognized AKI can rapidly progress to life-threatening hyperkalemia, fluid overload, and metabolic acidosis.
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