shock CHF and consumption of high protein decreased levels loss of muscle mass

Shock chf and consumption of high protein decreased

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shock, CHF, and consumption of high protein; decreased levels= loss of muscle mass, lithium carbonate, and certain meds (aminoglycosides and cephalosporins) BUN: Measure of the renal excretion of urea nitrogen; range is 8-21; increased bun= can be liver disease, dehydration, infection, high protein diet, GI bleed, steroid use, trauma;
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decreased bun= severe liver damage, malnutrition, low protein diet, fluid volume excess; not diagnostic of renal dysfunction but certainly indicates it Bun/Creatinine Ratio: range of 10:1 to 20:1; determine if renal or nonrenal nature; bun and creatinine level increase and the ratio remains normal= renal dysfunction; bun rises more quickly than creatinine= hypovolemia/hypotension Uric Acid: range 3.5-8; produced natural in cell and through diet (organ meats, spinach, shellfish, sardines, mushrooms, beans, asparagus); value over 12 is critical= gout (uric crystal cause inflammation arthritis); increased levels=renal failure, myeloma, malnutrition, leukemia, long term Tylenol and furosemide, metastatic cancer; decreased levels= burns, pregnancy, folic acid anemia, Wilson’s disease, meds (allopurinol, rasburicase, azathioprine, and warfarin) Bicarbonate: range 24-28; kidneys regulate to produce or excrete to correct pH (increase= metabolic alkalosis); increase= vomiting, gastric suctioning, loss of potassium; decrease= renal failure, diabetic ketoacidosis, severe diarrhea, malnutrition, burns Electrolytes:
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