Question

A 72-year-old man is admitted with vomiting and diarrhoea due to presumed viral gastroenteritis. His blood pressure is 92/60 mmHg and pulse 110 bpm. Baseline creatinine was 90 µmol/L, now 210 µmol/L. He takes Ramipril and Ibuprofen regularly. What is the most appropriate immediate management?

Accepted Answer

Give an intravenous fluid bolus and stop potentially nephrotoxic drugs

Answer

Continue his Ramipril to maintain renal perfusion

Answer

Start high-dose intravenous loop diuretics

Answer

Arrange urgent renal biopsy

Answer

Restrict fluids until renal function improves

Practice question

A 72-year-old man is admitted with vomiting and diarrhoea due to presumed viral gastroenteritis. His blood pressure is 92/60 mmHg and pulse 110 bpm. Baseline creatinine was 90 µmol/L, now 210 µmol/L. He takes Ramipril and Ibuprofen regularly. What is the most appropriate immediate management?