Question

A 64-year-old woman presents with AKI (creatinine doubled from baseline, oliguria). She takes ramipril and ibuprofen PRN for osteoarthritis. First management step?

Accepted Answer

Start IV fluids after assessment and stop nephrotoxins

Answer

Increase ramipril dose

Answer

Start gentamicin for possible UTI

Answer

Immediate dialysis

Answer

No action; repeat bloods in a week

Practice question

A 64-year-old woman presents with AKI (creatinine doubled from baseline, oliguria). She takes ramipril and ibuprofen PRN for osteoarthritis. First management step?