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FENa (Fractional Excretion of Sodium) Calculator
The fractional excretion of sodium or FENa refers to the percentage of sodium filtered by the kidney which gets excreted in the urine. You measure this value in terms of urine sodium and plasma. A FENa calculator becomes a useful tool in the assessment of actual kidney failure.
Although computing the FENa value using the FENa formula or the FENa equation can be quite confusing, you can utilize this FENa calculator to perform the calculation for you. This online tool is easy to understand and using it requires only a few steps.
Before using this FENa calculator, you must have specific values which you can acquire from laboratory testing. Here are the steps to follow for this calculator:
By the way, ATN is a kind of medical condition involving the death of tubular epithelial cells that form the renal tubules of the kidneys. Keep in mind though, that using FENa has multiple limitations:
To successfully find the value of FENa, you have to know first the results of your urine and blood examinations. Therefore, you must first have a laboratory test performed before using the FENa calculator. Specifically, you must have the following tested:
The FENa calculator uses the FENa formula which you can also use for manual calculations. The FENa equation is:
PCr refers to the plasma creatinine PNa refers to the plasma sodium UCR refers to the urine creatinine UNa refers to the urine sodium.
You can also come up with the same results using another method. For this method, you multiply the concentration of plasma sodium by the glomeric filtration rate.
Apart from performing the calculation, you may also want to learn more about how to interpret the result you get from the calculator. Here are the basic interpretations:
For normal people, the fractional excretion of sodium is typically lower than 1% but this may vary as it can get elevated when you increase your intake of sodium. For patients who suffer from azotemia, a low value of the fractional excretion of sodium is usually an indication of a pre-renal process that’s volume-repletion responsive.
But a low FENa value with azotemia can also happen due to cardiac or hepatic failure, pigment nephropathy, acute glomerulonephritis, contrast nephrotoxicity or polyuric renal failure, renal transplant rejection, acute obstruction, and on occasion, non-oliguric acute renal failure.
A FENa result of more than 1% in severe azotemic patients is usually an indication of intrinsic renal injury. However, it’s consistent in volume depletion for patients who take diuretic medication or in those who have chronic renal insufficiencies.
In the same fashion, a low value in an acute renal parenchymal injury is generally interpreted as an indication of extensive tubular integrity although it’s still consistent with varying pathophysiologic processes. You should always base the interpretation of FENa results in specific clinical settings and other laboratory information used the management of patients.
When it comes to FENa, here are some points worth considering:

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