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In addition, after sodium excretion, the osmoreceptor system may sense lowered sodium concentration in the blood and then direct compensatory urinary water loss in order to correct the hyponatremic (low blood sodium) state. Classifying renal disease. When classifying renal disease, urine sodium levels can provide insight into the underlying ...
Reference ranges for urine tests are described below: Measurement Lower limit Upper limit Unit Urinary specific gravity: 1.003 [1] [2] 1.030 [1] [2] g/mL Urobilinogen:
The urine concentrations of sodium, chlorine and potassium may be used to investigate conditions such as abnormal blood electrolyte levels, acute kidney injury, metabolic alkalosis and hypovolemia. [ 1 ] [ 2 ] [ 3 ] Other electrolytes that can be measured in urine are calcium , phosphorus and magnesium .
The fractional excretion of sodium (FE Na) is the percentage of the sodium filtered by the kidney which is excreted in the urine. It is measured in terms of plasma and urine sodium , rather than by the interpretation of urinary sodium concentration alone, as urinary sodium concentrations can vary with water reabsorption .
Normal volume hyponatremia is divided into cases with dilute urine and concentrated urine. [4] Cases in which the urine is dilute include adrenal insufficiency, hypothyroidism, and drinking too much water or too much beer. [4] Cases in which the urine is concentrated include syndrome of inappropriate antidiuretic hormone secretion (SIADH). [4]
Trace levels of protein in the urine can be normal, [60] but high levels (proteinuria) can indicate kidney disease. [45] Most cases of proteinuria are caused by increased levels of albumin , [ 61 ] which test strips can detect relatively well; but they are markedly less sensitive to other proteins, such as Bence-Jones protein , [ 62 ] which may ...
The kidneys can also generate dilute urine to balance sodium levels. [8] These electrolytes must be replaced to keep the electrolyte concentrations of the body fluids constant. Hyponatremia, or low sodium, is the most commonly seen type of electrolyte imbalance. [12] [13]
The normal range of GFR, adjusted for body surface area, is 100–130 average 125 (mL/min)/(1.73 m 2) in men and 90–120 (mL/min)/(1.73 m 2) in women younger than the age of 40. In children, GFR measured by inulin clearance is 110 (mL/min)/(1.73 m 2 ) until 2 years of age in both sexes, and then it progressively decreases.