A 62-year-old woman is admitted with acute kidney injury after diarrhoea and vomiting. Her current creatinine is 260 µmol/L, baseline 90 µmol/L. She i...

Question

A 62-year-old woman is admitted with acute kidney injury after diarrhoea and vomiting. Her current creatinine is 260 µmol/L, baseline 90 µmol/L. She is oliguric and hypotensive. Which is the most important initial management step?

Accepted Answer

Assess volume status and restore circulating volume with intravenous fluids

Answer

Start high-dose loop diuretics to force diuresis

Answer

Start ACE inhibitor therapy to improve renal perfusion

Answer

Arrange immediate renal biopsy

Answer

Restrict fluid intake to avoid fluid overload

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

A 62-year-old woman is admitted with acute kidney injury after diarrhoea and vomiting. Her current creatinine is 260 µmol/L, baseline 90 µmol/L. She is oliguric and hypotensive. Which is the most important initial management step?