acute tubular necrosis vs. prerenal uraemia Flashcards
urine sodium - prerenal
< 20
urine sodium - acute tubular necrosis
> 40
urine osmolality - prerenal
> 500
urine osmolality - acute tubular necrosis
< 350
fractional sodium excretion - prerenal
< 1%
fractional sodium excretion - acute tubular necrosis
> 1%
response to fluid challenge - prerenal
good
response to fluid challenge - acute tubular necrosis
bad
urea:creatinine ratio - prerenal
raised
urea:creatinine ratio: acute tubular necrosis
normal
urea excretion - prerenal
< 35%
urea excretion: acute tubular necrosis
> 35%
urine:plasma osmolality - prerenal
> 1.5
urine:plasma osmolality - acute tubular necrosis
< 1.1
urine:plasma urea - prerenal
> 10:1
urine:plasma urea: acute tubular necrosis
< 8:1
specific gravity: prerenal
> 1020
specific gravity: acute tubular necrosis
< 1010
urine - prerenal
normal
urine - acute tubular necrosis
brown granular casts
prerenal - what do kidneys do with sodium
hold onto it to preserve volume