Question

A 78-year-old woman with vomiting and diarrhoea develops AKI (creatinine rise from 92 to 180 µmol/L). She takes ramipril and ibuprofen. What is the most appropriate immediate management?

Accepted Answer

Stop ACEi/NSAID, assess volume and give IV fluids

Answer

Continue ramipril to protect kidneys

Answer

Start gentamicin for presumed sepsis

Answer

Give IV furosemide to force diuresis

Answer

Restrict fluids until creatinine normalises

Practice question

A 78-year-old woman with vomiting and diarrhoea develops AKI (creatinine rise from 92 to 180 µmol/L). She takes ramipril and ibuprofen. What is the most appropriate immediate management?