Template:FENa Calculator: Difference between revisions

(Create FENa calculator template (fractional excretion of sodium))
 
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* Low FENa (<1%) can be seen in contrast nephropathy, rhabdomyolysis, early obstruction
* Low FENa (<1%) can be seen in contrast nephropathy, rhabdomyolysis, early obstruction
* Not validated in '''CKD''' patients
* Not validated in '''CKD''' patients
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! References
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* Espinel CH. The FENa test: use in the differential diagnosis of acute renal failure. JAMA. 1976;236:579-581. PMID 947239.
* Steiner RW. Interpreting the fractional excretion of sodium. Am J Med. 1984;77:699-702. PMID 6486145.
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Revision as of 12:55, 21 March 2026

Interactive FENa (Fractional Excretion of Sodium) calculator. Requires the calculator gadget.

Usage: {{FENa Calculator}}

FENa — Fractional Excretion of Sodium
Parameter Value
Serum Sodium (mEq/L)
Serum Creatinine (mg/dL)
Urine Sodium (mEq/L)
Urine Creatinine (mg/dL)
FENa (%)  %
Interpretation (in setting of oliguria/AKI)
<1% Pre-renal azotemia — Kidneys are sodium-avid (hypoperfusion, hypovolemia, heart failure, cirrhosis). Consider volume resuscitation.
>2% Intrinsic renal disease — ATN, AIN, or glomerulonephritis. Kidneys unable to concentrate urine.
1–2% Indeterminate — May be seen in early ATN or with mixed etiologies. Clinical correlation required.
Important Caveats
  • FENa is unreliable on diuretics — use FEUrea instead
  • Low FENa (<1%) can be seen in contrast nephropathy, rhabdomyolysis, early obstruction
  • Not validated in CKD patients
References
  • Espinel CH. The FENa test: use in the differential diagnosis of acute renal failure. JAMA. 1976;236:579-581. PMID 947239.
  • Steiner RW. Interpreting the fractional excretion of sodium. Am J Med. 1984;77:699-702. PMID 6486145.