MedCalc: Fractional Excretion of Sodium & Transtubular Potassium Excretion

Sodium:  
Serum (PNa): mmol/L
Urinary (UNa): mmol/L
Creatinine:  
Serum (PCr): mg/dl
Urinary (UCr): mg/dl
 
Fractional Excretion   
of Sodium (FENa) =
%
Renal Failure Index (RFI) = %
Potassium :  
Serum (PK) : mmol/L
Urinary (UK) : mmol/L
Osmolality :  
Serum (POsm) : mOsm/L
Urinary (UOsm) : mOsm/L
 
Transtubular Potassium   
Gradient (TTKG) =
%
Fractional Excretion of Sodium (FENa) = (UNa x PCr) / (PNa x UCr) x 100

Renal Failure Index (RFI) = (UNa x PCr) / UCr

Transtubular Potassium Gradient (TTKG) = (UK x Posm) / (PK x Uosm)

Interpretation of the Urinary Indices
  Prerenal ATN Postrenal
UNa (mmol/L) < 20 > 40 > 40
FENa < 1% > 1% > 4%
RFI < 1% > 1% > 1%


Created by: Charles Hu & Gary Barnas M.D.
Created: Saturday, January 15, 2000
Last Modified: