A 68-year-old woman presents with vomiting and oliguria after NSAID use for back pain. Serum creatinine has risen from 80 to 160 µmol/L within 48 hour...

Question

A 68-year-old woman presents with vomiting and oliguria after NSAID use for back pain. Serum creatinine has risen from 80 to 160 µmol/L within 48 hours. What is the most appropriate initial management?

Accepted Answer

Stop NSAIDs, assess volume status, optimise fluids and review nephrotoxins

Answer

Start ACE inhibitor to protect kidneys

Answer

Immediate dialysis for all AKI stage 1

Answer

Prescribe trimethoprim for suspected UTI empirically

Answer

No action; recheck in 2 weeks

ukmla MCQ (SBA): Acute kidney injury

A 68-year-old woman presents with vomiting and oliguria after NSAID use for back pain. Serum creatinine has risen from 80 to 160 µmol/L within 48 hours. What is the most appropriate initial management?