A 68-year-old man admitted with pneumonia develops a rise in serum creatinine from 90 µmol/L at baseline to 210 µmol/L over 48 hours. His urine output...

Question

A 68-year-old man admitted with pneumonia develops a rise in serum creatinine from 90 µmol/L at baseline to 210 µmol/L over 48 hours. His urine output is 0.3 mL/kg/hour. What is the most appropriate immediate management priority?

Accepted Answer

Stop nephrotoxic medications and optimise fluid status

Answer

Start high-dose loop diuretics to improve urine output

Answer

Arrange urgent dialysis

Answer

Insert a urinary catheter and do nothing else

Answer

Discharge with outpatient renal follow-up

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

A 68-year-old man admitted with pneumonia develops a rise in serum creatinine from 90 µmol/L at baseline to 210 µmol/L over 48 hours. His urine output is 0.3 mL/kg/hour. What is the most appropriate immediate management priority?