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
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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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