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149.

A 60-year-old man with a long history of arterial hypertension with comorbid type 2 diabetes mellitus was admitted to Emergency Dept. because of massive oedema, dyspnoea, malaise, weakness, nausea and vomiting. Laboratory tests showed creatinine 8 mg/dl, urea 220 mg/dl, gasometry: pH 7.2, pCO2 30 mmHg, pO2 80 mmHg, HCO3 16 mmol/l, abdominal ultrasound revealed both kidneys with a longitudinal axis of 6 cm, with decreased corticomedullary differentiation. Indicate appropriate measures to be taken:

A. intravenous Solu-Medrol pulse dosing.
B. insertion of dialysis catheter and permanent dialysis.
C. insertion of dialysis catheter and management of acute renal failure.
D. kidney biopsy and taking relevant measures according to biopsy findings.
E. intravenous fluid therapy.

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