Acute renal failure

74-year-old man has been feeling lethargic for the past week, he has troubles with urination and mild peripheral oedema in his ankles. He has had benign prostatic hypertrophy previously but is otherwise usually very fit and uncomplaining. He was sent to the department of internal medicine by his GP, where they have performed his blood tests. You are in the role of doctor of internal medicine, what measures would you undertake after seeing results?
74
years
man
RR
17 /min
HR
80 /min
SpO2
94 %
BP
153/92 (112) mmHg
Glycaemia
Gly
5,0  mmol/L
Arterial blood gas
pH
7,32
pCO2
41,25  torr
pO2
82,5  torr
BE
1,3  mmol/l
HCO3
19  mmol/l
Complete blood count
HGB
100  g/L
HTC
0,25
ERC
5,2  x1012/L
LEU
6  x109/L
PLT
200  x109/L
Biochemical analysis
Na
136  mmol/L
K
8,08  mmol/L
Cl
103  mmol/L
Ca
0,88  mmol/L
Renal markers
urea
29,3 mmol/L
Cr
686 μmol/L
Glycaemia
Take a sample
Arterial blood gas
Take a sample
Complete blood count
Take a sample
Biochemical analysis
Take a sample
Renal markers
Take a sample