A 68-year-old man admitted with pneumonia develops a rise in creatinine from 90 µmol/L to 190 µmol/L over 48 hours. Urine output has fallen to 0.3 mL/...

Question

A 68-year-old man admitted with pneumonia develops a rise in creatinine from 90 µmol/L to 190 µmol/L over 48 hours. Urine output has fallen to 0.3 mL/kg/hour for the past 6 hours. He is taking Ramipril and regularly using ibuprofen. Blood pressure is 95/60 mmHg. What is the most appropriate immediate management?

Accepted Answer

Stop nephrotoxic drugs and optimise fluid resuscitation

Answer

Increase his Ramipril dose to protect the kidneys

Answer

Restrict fluids to avoid overload

Answer

Arrange outpatient nephrology review in 3 months

Answer

No action is needed; this is expected with age

uk-plab-1 MCQ (SBA): Acute kidney injury