Question

A 68-year-old man in hospital after surgery has a rise in serum creatinine from 90 µmol/L to 160 µmol/L over 48 hours with reduced urine output. He is hypotensive and on regular NSAIDs for pain. What is the most appropriate initial management of his acute kidney injury (AKI)?

Accepted Answer

Stop nephrotoxic drugs, give intravenous fluids and monitor urine output closely

Answer

Continue NSAIDs and observe

Answer

Restrict fluids and start high-dose diuretics

Answer

Arrange immediate dialysis without further assessment

Answer

Reassure that this is normal post-operative change and requires no action

Practice question

A 68-year-old man in hospital after surgery has a rise in serum creatinine from 90 µmol/L to 160 µmol/L over 48 hours with reduced urine output. He is hypotensive and on regular NSAIDs for pain. What is the most appropriate initial management of his acute kidney injury (AKI)?