This document discusses several lab values used to evaluate kidney function:
- Serum creatinine and blood urea nitrogen levels rise when kidney function declines as the kidneys cannot remove these waste products as effectively.
- Glomerular filtration rate (GFR) estimates kidney function and a rate below 15 indicates the need for dialysis or transplant.
- Urine tests like protein, microalbumin, and creatinine can detect early kidney damage and protein in the urine.
- Serum albumin levels reflect dietary protein and calorie intake, with low levels increasing infection risk. Together these lab values provide information on kidney health and function.
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Understanding Lab Values: Reynel Dan Galicinao
This document discusses several lab values used to evaluate kidney function:
- Serum creatinine and blood urea nitrogen levels rise when kidney function declines as the kidneys cannot remove these waste products as effectively.
- Glomerular filtration rate (GFR) estimates kidney function and a rate below 15 indicates the need for dialysis or transplant.
- Urine tests like protein, microalbumin, and creatinine can detect early kidney damage and protein in the urine.
- Serum albumin levels reflect dietary protein and calorie intake, with low levels increasing infection risk. Together these lab values provide information on kidney health and function.
Download as PPT, PDF, TXT or read online on Scribd
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Understanding Lab Values
Reynel Dan Galicinao
Serum Creatinine • Creatinine is a waste product in your blood that comes from muscle activity • It is normally removed from your blood by your kidneys, but when kidney function slows down, the creatinine level rises • Used to calculate your GFR Glomerular Filtration Rate • GFR tells how much kidney function you have • Estimated from your blood level of creatinine • If your GFR falls below 30 you will need to see a nephrologist • Your kidney doctor will speak to you about treatments for kidney failure like dialysis or kidney transplant. • A GFR below 15 indicates that you need to start one of these treatments. Blood Urea Nitrogen • Urea nitrogen is a normal waste product in your blood that comes from the breakdown of protein from the foods you eat and from your body metabolism • Normally removed from your blood by your kidneys, but when kidney function slows down, the BUN level rises. • BUN can also rise if you eat more protein, and it can fall if you eat less protein. Urine Protein • When your kidneys are damaged, protein leaks into your urine • A simple test can be done to detect protein in your urine • Persistent protein in the urine is an early sign of chronic kidney disease Microalbuminuria • This is a sensitive test that can detect a small amount of protein in the urine Urine Creatinine • This test estimates the concentration of your urine and helps to give an accurate protein result • Protein-to-Creatinine Ratio: This estimates the amount of protein you excrete in your urine in a day and avoids the need to collect a 24-hour sample of your urine Serum Albumin • Albumin is a type of body protein made from the protein you eat each day • A low level of albumin in your blood may be caused by not getting enough protein or calories from your diet • A low level of albumin may lead to health problems such as difficulty fighting off infections • Ask your dietitian how to get the right amount of protein and calories from your diet