FENa

Medical abbreviation · Nephrology & Urology

FENa
Stands forFractional excretion of sodium
CategoriesMedical

FENa stands for Fractional excretion of sodium, a nephrology & urology abbreviation.

Calculation comparing how much filtered sodium appears in the urine, used to separate prerenal acute kidney injury from tubular damage. Values below 1 percent suggest the kidneys are avidly retaining sodium (prerenal), while values above 2 percent suggest acute tubular necrosis.

Example: FENa 0.4 percent with BUN/Cr 28: prerenal AKI, start isotonic fluids.

Usage notes

Calculated as (urine sodium × plasma creatinine) ÷ (plasma sodium × urine creatinine) × 100. Diuretics make FENa unreliable, so the fractional excretion of urea (below about 35 percent suggests prerenal) is used instead. Pronounced "fee-NA" or "F-E-N-A".

More nephrology & urology abbreviations

  • DKD – Diabetic kidney disease
  • DRE – Digital rectal exam
  • ED – Erectile dysfunction
  • ESKD – End-stage kidney disease
  • ESRD – End-stage renal disease
  • ESWL – Extracorporeal shock wave lithotripsy
  • FSGS – Focal segmental glomerulosclerosis
  • GN – Glomerulonephritis
  • GU – Genitourinary
  • HD – Hemodialysis
  • HoLEP – Holmium laser enucleation of the prostate
  • HUS – Hemolytic uremic syndrome

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This entry is for general education and is not medical advice. Abbreviation use varies between institutions; always confirm in context.