L3 Renal Clearance Flashcards
How do you calculate FLx?
FLx= (GFR) (Px)
How do you calculate excretion rate?
ER= Ux(V) OR ER= FLX + Sx - Rx
What are the algorithms for estimating GFR based on plasma creatinine?
Cockcroft-Gault, MDRD 4, and CKD-EPI
What is the clearance equation?
Cx= (Ux x V)/ Px
Clearance of a secreted substance will be ** than Ccr, thus ** than GFR.
Greater, greater
Clearance of a reabsorbed substance will be ** than Ccr, thus ** than GFR.
Less, less
What does a clearance ratio of 1 mean?
The substance must be a GFR marker (filtered, but neither secreted or reabsorbed)
What does a clearance ratio of less than 1 indicate?
Either the substance is not filtered, or it is filtered and reabsorbed
What does a clearance ratio of greater than 1 indicate?
The substance is filtered and secreted
Clearance of PAH is an estimate of what?
RPF
How are Creatinine and GFR related?
Inversely. As Creatinine increases, GFR decreases