A 50 y.o man with cirrhosis due to hepatitis C complaining of abdominal discomfort and confusion. His BP is 95/60 and pulse is 100/min. He has distended abdomen, leg edema. and jaundice. Bibasilar crackles are heard. His serum Na+ level is 127, K+ is 2.9, and creatinine is 1.7 mg/dl. On day 3 of his hospitalization, the serum creatinine Is 3.8 mg/dL.
Urinalysis:
Protein -ve
Glucose -ve
WBCs 4-5/hpf
RBCs 0-1/hpf
Renal USG is normal and the post-void residual urinary volume is <50 ml. He is given IV NS and albumin with no change in his serum creatinine. This patient’s kidney dysfunction can be best corrected by which of the following?
A. Angiotensin-converting enzyme Inhibitors
B. Broad-spectrum antibiotics
C. Corticosteroids
D. High-dose spironolactone
E. Liver transplantation
F. Kidney transplantation
G. low-dose dopamine
H. Pegylated Interferon