fluid and electrolytes Flashcards
Blood urea nitrogen
8-21
Blood urea nitrogen measures
by products of protein breakdown in the liver-food sources
Elevated blood urea nitrogen
fluid volume deficit or dehydration
Decrease in BUN can be caused by
SIADH, liver failure, malnutrion
Serum creatinine
0.5-1.2
Serum creatinine measures
when muscles and other proteins are broken down
Elevated creatinine levels
kidney impairment/ kidney dieases
Decreased creatinine levels
decreased muscle mass/muscle wasting
BUN to creatinine ratio
10:1 to 20:1
Run rises more rapidly than creatinine so ratio is increased
deficient blood voume/low cardia output
Both BUN and creatinine rise at the same rate
kidney dysfuntion
Bun drops more rapidly than creatinine so ratio is decreased
fluid volume excess
Specific gravity
1.005-1.030
Measures dissolved chemicals in urine and reflects kidneys ability to concentrate urine
specific gravity
Increased specific gravity=concentrated urine
decreased renal perfusion, dehydration, siadh