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One of the measures of kidney function is the glomerular filtration rate (GFR). Other tests that can assess the function of the kidneys include assessment of electrolyte levels such as potassium and phosphate, assessment of acid-base status by the measurement of bicarbonate levels from a vein, and assessment of the full blood count for anaemia.
Using inulin to measure kidney function is the "gold standard" for comparison with other means of estimating glomerular filtration rate. [6] In 2018, the French pharmacovigilance agency withdrew inulin and sinistrin -based products from the market after some patients experienced hypersensitivity reactions including a fatal outcome. [ 7 ]
The term "non-dialysis-dependent chronic kidney disease" (NDD-CKD) is a designation used to encompass the status of those persons with an established CKD who do not yet require the life-supporting treatments for kidney failure known as kidney replacement therapy (RRT, including maintenance dialysis or kidney transplantation).
Scarring disturbs the filtering process of the kidneys and allows protein to leak from the blood into the urine. However, glomerulosclerosis is one of many causes of proteinuria. A kidney biopsy (the removal of a tiny part of the kidney with a needle) may be necessary to determine whether a patient has glomerulosclerosis or another kidney problem.
BUN is an indication of kidney health. The normal range is 2.1–7.1 mmol/L or 6–20 mg/dL. [1]The main causes of an increase in BUN are: high-protein diet, decrease in glomerular filtration rate (GFR) (suggestive of kidney failure), decrease in blood volume (hypovolemia), congestive heart failure, gastrointestinal hemorrhage, [5] fever, rapid cell destruction from infections, athletic ...
The kidney also receives input from the parasympathetic nervous system, [23] by way of the renal branches of the vagus nerve; the function of this is yet unclear. [22] [24] Sensory input from the kidney travels to the T10–11 levels of the spinal cord and is sensed in the corresponding dermatome. [22]