Question 217 · LEK · Acute kidney injury
In a 49-year old patient after multiple organ trauma, acute renal failure occurred. Indicate which of the following parameters show the 2nd stage of acute renal failure:
1) urine sodium < 20 mmol/L;
2) double increase in serum creatinine compared to the initial value;
3) decrease in diuresis < 0.3 mL/kg/hour for more than 24 hours;
4) urea level increase of 50% as compared to the initial value;
5) decrease in diuresis <0.5 mL/kg/hour for at least 12 hours.
The correct answer is:
2) double increase in serum creatinine compared to the initial value;
3) decrease in diuresis < 0.3 mL/kg/hour for more than 24 hours;
4) urea level increase of 50% as compared to the initial value;
5) decrease in diuresis <0.5 mL/kg/hour for at least 12 hours.
The correct answer is:
- A. 1,3.
- B. 1,4.
- C. 1,5.
- D. 2,3.
- E. 2,5.
Hint
Recall the KDIGO staging: each stage has a creatinine multiple and a urine output threshold sustained for a set number of hours.
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