fena calculator » medicine http://www.fenacalculator.com Calculate the fractional excretion of sodium given the serum and urine sodium, and the serum and urine creatinine. Mon, 03 Oct 2011 21:12:04 +0000 en hourly 1 http://wordpress.org/?v=3.2.1 FENa Calculator http://www.fenacalculator.com/fena-calculator/?utm_source=rss&utm_medium=rss&utm_campaign=fena-calculator http://www.fenacalculator.com/fena-calculator/#comments Thu, 15 Apr 2010 15:50:27 +0000 http://www.fenacalculator.com/?p=3 Continue reading →]]> Fractional Excretion of Na calculator is to measure of the percentage of sodium excreted in the urine versus the sodium reabsorbed by the kidney.FENa is not a test, but rather a calculation based on the concentrations of sodium and creatinine in your blood and urine.

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:

Where

UNa = Urine Sodium
UCr = Urine Creatinine
PNa = Plasma Sodium
PCr = Plasma Creatinine

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