AACN ACNPC-AG

Practice session

A 60-year-old has AKI with KDIGO stage 3, oliguria <0.3 mL/kg/hr for 12 hours, K+ 6.4, pH 7.18, BUN 96, creatinine 5.8, and rising. Urine sediment shows muddy brown casts. Which indication for renal replacement therapy is most pressing?

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