A 72-year-old woman is admitted with vomiting and diarrhoea. Creatinine has risen from 90 to 220 µmol/L over 48 hours, with reduced urine output. She ...

Question

A 72-year-old woman is admitted with vomiting and diarrhoea. Creatinine has risen from 90 to 220 µmol/L over 48 hours, with reduced urine output. She is on Ramipril, Ibuprofen and Furosemide. What is the most appropriate immediate management?

Accepted Answer

Stop Ramipril, Ibuprofen and Furosemide and optimise fluid status

Answer

Continue all regular medications to maintain control

Answer

Increase Ramipril dose to protect the kidneys

Answer

Restrict fluids and continue NSAIDs

Answer

Start high-dose IV contrast CT scan immediately

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

A 72-year-old woman is admitted with vomiting and diarrhoea. Creatinine has risen from 90 to 220 µmol/L over 48 hours, with reduced urine output. She is on Ramipril, Ibuprofen and Furosemide. What is the most appropriate immediate management?