Internal assessment
1 .AKI secondary to ?Nephrotic syndrome secondary to uncontrolled diabetes mellitus, hypertension with Anemia https://www.ncbi.nlm.nih.gov/books/NBK538145/ 2. Azotemia due to worsening of third spacing from intravascular depletion (pedal edema , ascites) and poorly controlled diabetes and hypertension Anemia due to decreased levels of erythropoeitin which is produced in kidney Hypoalbuminemia due to damage to glomerulus which increases albumin loss in urine. Chronic diseases like hypertension and diabetes also lead to albuminuria Acidosis https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5648741/ Acidosis due to decreased tubular reabsorption of bicarbonate and its decreased production in relation to amount of acid synthesized 3. Sodium bicarbonate to correct acidosis Kcl to correct hypokalemia . Actrapid insulin for management of diabetes https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6341062/ https://pubmed.ncbi.nlm.nih.gov/14760875/ Lasix to increase urine output and red