ATI Renal 2023 Flashcard

Lab Tests: Serum Creatinine - protein & muscle breakdown - CKD is the ONLY CONDITION that INCREASES serum levels - kidney function loss of at least 50% causes increase - values remain constant in older adults unless diagnosed with KD Normal Values: Males = 0.6 - 1.2 mg/dL Females = 0.5 - 1.1 mg/dL Lab Tests: BUN - breakdown of protein in the liver, creating byproduct urea nitrogen excreted by liver Factors: - dehydration - infection - chemotherapy - steroid therapy - reabsorption of blood in the lover d/t tissue damage INCREASED levels suggest KD Normal Values: 7 - 20 mg/dL Lab Tests: Urinalysis - evaluates waste products from the kidney & detects urologic disorders - early morning specimen = concentrated sample - color, clarity, specific gravity, concentration/dilution, acidity/alkalinity - drug metabolites, glucose, ketone bodies & protein (abnormal) - culture & sensitivity = identifies bacteria and type of antibiotic for tx - 24/hr collection measures creatinine, BUN, sodium, chloride, calcium, catecholamines & proteins - 24/hr collection measures CREATININE CLEARANCE (GFR for px with impaired kidney function) Renal Diagnostic Procedures: Radiography (x-ray) - allows for visualization of structures and detects renal calculi, strictures, calcium deposits, or obstructions Contraindicated in pregnant women. Remove jewelry & metal objects Renal Diagnostic Procedures: CT - Dye can cause AKI Renal Diagnostic Procedures: MRI - Clients must lie down and have to remain still for the test Cystography, Cystourethrography, Voiding