Clinical Indicators of Urinary
Antibiotic therapy
Burning on urination
Documentation of "urosepsis" (must be clarified as SIRS/Sepsis
or UTI)
Documentation of “UTI”
Fever ≥38ºC within 48 hrs of cath removal
Indwelling catheter (current or recent)
Urinary retention
Urinary urgency/frequency
Urine Bacteria
Urine culture ≥ 100,000 colonies with no more than 2 organism growth
Urine WBC’s
WBC count > 1200mm
Urine nitrites Urine esterase
Clinical Indicators of Renal
Abnormal BUN
Abnormal BUN Creatinine ratio
Abnormal Creatinine
Abnormal GFR
Abnormal Serum Osmolality
Abnormal Urine Osmolality
Dehydration
Documentation of “CKD” or “CRF”
Hyperkalemia
Hypotension/shock
Hypovolemia
Oliguria/anuria
Prerenal Azotemia
Proteinuria
Acute/Chronic Renal Insufficiency
Renal Impairment
50% increase in Cr from baseline
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