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Fractional excretion of other substances can be measured to determine kidney clearance including urea, uric acid, and lithium. These can be used in patients undergoing diuretic therapy, since diuretics induce a natriuresis. Thus, the urinary sodium concentration and FE Na may be higher in patients receiving diuretics in spite of prerenal ...
In medicine, the urea-to-creatinine ratio (UCR [1]), known in the United States as BUN-to-creatinine ratio, is the ratio of the blood levels of urea (mmol/L) and creatinine (Cr) (μmol/L). BUN only reflects the nitrogen content of urea (MW 28) and urea measurement reflects the whole of the molecule (MW 60), urea is just over twice BUN (60/28 ...
Two other urinary indices, are the fractional sodium excretion (FENa) index and the renal failure index (RFI). [36] The renal failure index is equal to urine sodium times plasma creatinine divided by urine creatinine. [36] A FENa score greater than 3% or a renal failure index (RFI) greater than 3 are helpful in confirming acute renal failure. [37]
Outside the United States, blood tests made up of the majority of the same biochemical tests are called urea and electrolytes (U&E or "U and Es"), or urea, electrolytes, creatinine (UEC or EUC or CUE), and are often referred to as 'kidney function tests' as they also include a calculated estimated glomerular filtration rate. The BMP provides ...
A more accurate relationship between URR and Kt/V can be derived by single-pool, variable volume urea kinetic modeling. A simplified estimating equation also can be used. [2] This gives results that are quite similar to formal urea modeling as long as dialysis treatments of 2–6 hours in duration are given, and Kt/V is between 0.7 and 2.0.
Glomerular filtration rate (GFR) is the volume of fluid filtered from the renal (kidney) glomerular capillaries into the Bowman's capsule per unit time. [4] Central to the physiologic maintenance of GFR is the differential basal tone of the afferent (input) and efferent (output) arterioles (see diagram).
The urine sodium is expressed as a concentration (such as millimoles per liter). The result must therefore be interpreted in the context of the degree of urine concentration present. Alternatively, the urine sodium can be standardized to the excretion of creatinine using a formula such as the fractional excretion of sodium (FENa).
Urea allows the kidneys to create hyperosmotic urine (urine that has more ions in it - is "more concentrated" - than that same person's blood plasma). Preventing the loss of water in this manner is important if the person's body must save water in order to maintain a suitable blood pressure or (more likely) in order to maintain a suitable ...