26th July 2024

A 45-year-old known cirrhotic presents to the emergency department. He has come in with dehydration secondary

A 45-year-old known cirrhotic presents to the emergency department. He has come in with dehydration secondary to diuretics for ascites and has abnormal renal function tests. His baseline creatinine is 45 µmol/L, however this has risen to 150 µmol/L. Urine dip and renal ultrasound are both normal.

Diuretics are suspended and IV sodium chloride is given. However, creatinine does not improve.

What is the next management step?

Select the SINGLE most appropriate option from the list below. Select ONE option only.