FENa Calculator - Fractional Excretion of Sodium

FENa Calculator

Calculate fractional excretion of sodium for acute kidney injury differentiation

Medical Disclaimer

This calculator is for educational purposes only. Always consult a healthcare professional for medical advice and diagnosis.

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FENa Calculation
About FENa

FENa helps differentiate between prerenal azotemia and acute tubular necrosis in acute kidney injury.

FENa Formula:

FENa = (Urine Na × Serum Cr) / (Serum Na × Urine Cr) × 100

Interpretation:
  • Prerenal: <1%
  • Indeterminate: 1-2%
  • Intrinsic: >2%
Clinical Uses:
  • • AKI differentiation
  • • Volume status assessment
  • • Treatment planning
  • • Prognosis estimation
Limitations:
  • • Diuretic use affects results
  • • Not reliable in CKD
  • • Requires spot urine sample
  • • Timing dependent
Professional Resources:
  • • Nephrologist
  • • Critical care physician
  • • Emergency medicine
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