9. BUN and Creatinine Flashcards
gives rough measurement of renal function
Blood Urea Nitrogen
free ammonia from protein metabolism is combined in the liver to yield
urea
urea is normally excreted from the
kidney (via urine)
increase in nitrogenous products in the blood
azotemia
Pre-renal causes of azotemia
Excessive protein catabolism, CHF, Shock, and Dehydration
two causes of Dehydration Prerenal Azotemia?
- Decreased blood volume or decreased renal circulation
2. increased protein intake or endogenous catabolism
from chronic diffuse bilateral disease or damage
renal azotemia
from Acute Tubular Necrosis due to hypotension or shock
renal azotemia
caused by ureteral obstruction, BPH, or bladder tumors
postrenal azotemia
by product of creatine phosphate dephosphorylation in skeletal muslce
creatinine
depends on muscle mass so has very little daily fluctuations
creatinine
creatinine is only elevated by ______, and minimally elevated by ________
renal disorders, liver function
creatinine rises later and slower than ____, which suggests a chronic problem
BUN
creatinine is increased in
decreased renal function, rhabdomyolysis, and gigantism/acromegaly