| |
Calculate
the fractional excretion of sodium given the serum and urine
sodium, and the serum and urine creatinine.
To
accurately interpret FENa, patients should not have recently
received diuretics. FENa is greater than 1% and usually greater
than 3% with acute tubular necrosis and severe obstruction
of the urinary drainage of both kidneys. It is generally less
than 1% in patients with acute glomerulonephritis, hepatorenal
syndrome, and states of prerenal azotemia such as congestive
heart failure or dehydration. FENa may also be less than 1%
with acute partial urinary tract obstruction. -- Stein
JH, ed. Internal Medicine, 4th edition. Mosby-Year Book. 1994.
The
equation is:
| FENa
= |
UNa
* PCr
|
x
100 |
|
|
|
PNa
* UCr
|
|