GPT and acute kidney injury: Subsequently, the patient developed a stage 3 acute kidney injury with urine output maintained at 0.5 ml/kg/hr and worsening liver function tests (international normalized ratio [INR] 4.5, alanine aminotransferase [ALT] 1,174, alkaline phosphatase [ALP] 84, albumin 30, bilirubin 18), in keeping with a secondary ischaemic organ injury.