Day

1

2

3

4

5

6

14

Laboratory tests:

Serum urea

50

46

42

21

18

12

6

mmol/L

Serum creatinine

1270

1140

1114

870

621

361

180

umol/L

Serum metformin

46

5

umol/L

pH

6.9

7

7

7.3

7.3

7.4

7.4

Serum bicarbonate

5

6

6

14

18

20

24

mmol/L

Serum lactate

5

4

4

2.5

2

1

0.5

mmol/L

Blood pressure

50/20

70/40

80/50

100/60

120/70

140/90

140/90

mm Hg

Urine output

<100

<400

600

800

1500

2000

1600

ml/day

Therapy:

IV saline

IV bicarbonate

Furosemide

CVVHDF