Renal & AKI

Front

Pt with diarrhea, BUN:SCr 25:1, and FENa 0.7%. What is the diagnosis and initial management?

Back

Pre-renal AKI - Isotonic crystalloids

Answer explanation

The patient has diarrhea leading to dehydration, indicated by a high BUN:SCr ratio (25:1) and low FENa (0.7%). This suggests pre-renal AKI due to volume depletion. Initial management involves administering isotonic crystalloids to restore fluid balance.

Front

Based on the calculated FENa, which of the following is the most likely etiology of this patient’s acute kidney injury? Post-renal, AIN, Pre-renal, ATN

Back

Pre-renal

Answer explanation

The FENa calculated - 0.26% --> Pre-renal acute kidney injury due to volume depletion

Front

A patient undergoing chemotherapy with Cisplatin shows a rise in Serum Creatinine at day 4, peaking at day 12. What is the recommended management according to the ATN guidelines?

Back

0.9% NaCl hydration

Answer explanation

Cisplatin can cause nephrotoxicity, leading to increased serum creatinine. According to ATN guidelines, 0.9% NaCl hydration is recommended to prevent and manage acute kidney injury by maintaining renal perfusion.