Blood urea

Blood sugar Blood urea nitrogen Blowers Blowing agent... 

Fig. 1. A multilayer coating dry chemistry test for blood urea nitrogen (BUN) where HI and I represent the acid base forms of a pH indicator, respectively...

Electrodes may also be rendered selective to more complex analytes using enzyme or other overcoats (see Biopolymers, analytical techniques Biosensors). The enzyme converts the analyte into a detectable ion or gas. Glucose and blood urea nitrogen sensors can be made in this way. 

In some patients with IgA nephropathy (IgAN), intraglomerular coagulation plays a role in depositing fibrinogen (235,236). IgAN patients treated with urokinase show a marked improvement in urinary protein concentration, semm creatinine, and blood urea nitrogen levels (237). 

INEFFECTIVE TISSUE PERFUSION RENAL The patient taking an aminoglycoside is at risk for nephrotoxicity. The nurse measures and records the intake and output and notifies the primary health care provider if the output is less than 750 ml/day. It is important to keep a record of the fluid intake and output as well as a daily weight to assess hydration and renal function. The nurse encourages fluid intake to 2000 ml/day (if the patient s condition permits). Any changes in the intake and output ratio or in the appearance of the urine may indicate nephrotoxicity. The nurse reports these types of changes to the primary health care provider promptly. The primary health care provider may order daily laboratory tests (ie, serum creatinine and blood urea nitrogen [BUN]) to monitor renal function. The nurse reports any elevation in the creatinine or BUN level to tiie primary health care provider because an elevation may indicate renal dysfunction. 

Administration may result in nausea, vomiting, diarrhea, rash, anemia, leukopenia, and thrombocytopenia Signs of renal impairment include elevated blood urea nitrogen (BUN) and serum creatinine levels. Periodic renal function tests are usually performed during therapy. 

Renal—hematuria, cystitis, elevated blood urea nitrogen, polyuria, dysuria, oliguria, and acute renal failure in those with impaired renal function... 

Vasopressin is contraindicated in patients with chronic renal failure, increased blood urea nitrogen, and tiiose with allergy to beef or pork proteins. 

Other electrolytes of importance include calcium (especially if the patient is receiving a calcium channel blocker, such as nicardipine) and magnesium, as hypomagnesemia may predispose the patient to seizures, further complicating the ICP management. If the patient received intravenous iodinated contrast as part of their stroke evaluation, then careful monitoring of the blood urea nitrogen (BUN) and creatinine levels is necessary to detect contrast nephropathy. 

History (previous crises, previous medications, recreational drug use), physical examination (mandatory fundoscopic examination, blood pressure on all limbs), urinalysis, and electrolytes, blood urea nitrogen, creatinine, peripheral blood smear, complete blood count, electrocardiogram (ECG), chest X-ray, and head CT... 

Pseudorenal failure (increase in blood urea nitrogen or serum creatinine without a change in glomerular filtration rate)... 

Elevated blood urea nitrogen Elevated serum creatinine Microalbuminuria/proteinuria... 

BP, blood pressure BUN, blood urea nitrate CBC, complete blood cell count ECC, electrocardiogram HF, heart failure HR, heart rate K+, potassium SCr, serum creatinine SOB, shortness of breath. 

There is a paucity of clinical trial evidence comparing the benefit of diuretics to other therapies for symptom relief or long-term outcomes. Additionally, excessive preload reduction can lead to a decrease in CO resulting in reflex increase in sympathetic activation, renin release, and the expected consequences of vasoconstriction, tachycardia, and increased myocardial oxygen demand. Careful use of diuretics is recommended to avoid overdiuresis. Monitor serum electrolytes such as potassium, sodium, and magnesium frequently to identify and correct imbalances. Monitor serum creatinine and blood urea nitrogen daily at a minimum to assess volume depletion and renal function. 

Monitor the following serial laboratories for comparison to baseline values every 6 hours in the first 24 hours and daily thereafter until normalized sodium, serum creatinine, blood urea nitrogen, serum lactate, glucose, bilirubin, hemoglobin, hematocrit, platelets, prothrombin time, partial thromboplastin time, arterial blood gases, and pH. 

Obtain blood urea nitrogen (BUN), serum creatinine (SCr), calculated fractional excretion of sodium (FeNa), serum electrolytes, and arterial blood gases. 

Ammonia (NH3) is just one of the toxins implicated in HE. It is a metabolic by-product of protein catabolism and is also generated by bacteria in the GI tract. In a normally functioning liver, hepatocytes take up ammonia and degrade it to form urea, which is then renally excreted. In patients with cirrhosis, the conversion of ammonia to urea is retarded and ammonia accumulates, resulting in encephalopathy. This decrease in urea formation is manifest on laboratory assessment as decreased blood urea nitrogen (BUN), but BUN levels do not correlate with degree of HE. Patients with HE commonly have elevated serum ammonia concentrations, but the levels do not correlate well with the degree of central nervous system impairment.20... 

BUN, blood urea nitrogen IV, intravenous Na, sodium PMN polymorphonuclear leukocyte TIPS, transjugular intrahepatic portosystemic shunt. (From Chung RT, Podolsky DK. Cirrhosis and its complications. In Kasper DL, Braunwald E, Fauci AS, et a I, (eds.) Harrison s Principles of Internal Medicine. 16th ed. New York McGraw-Hill, 2005 1858-1869, with permission.)... 

Initiation of dialysis is dependent on the patient s clinical status. Symptoms that may indicate the need for dialysis include persistent anorexia, nausea, vomiting, fatigue, and pruritus. Other criteria that indicate the need for dialysis include declining nutritional status, declining serum albumin levels, uncontrolled hypertension, and volume overload, which may manifest as chronic heart failure, and electrolyte abnormalities, particularly hyperkalemia. Blood urea nitrogen (BUN) and serum creatinine (SCr) levels may be used as a... 

---