Case Study 59 Renal Calculi I I I I
1. Review F.F’s lab work and note any value that might be of concern.
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In his laboratory results, values of concern are:
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• BUN – above normal (7-20 mg/dL) - an elevated BUN is a sign that the
I I I I I I I I I I I I I I
kidneys are not functioning optimally.
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• Creatinine – above normal (1.6-1.2 mg/dL) males - these are linked to I I I I I I I I I I I
Diabetes Mellitus, poor hydration, and a diet high in protein
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• Glucose – hyperglycemia (70-130 mg/dl) I I I I
• LDH – below normal (140-280 U/L) - lower LDH are not typically indica-
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tive of a problem and can be. seen in patients that ingest large amounts of
I I I I I I I I I I I I I I I
Vitamin C
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2. Analyze the relationship between creatinine and glomerular filtra-
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tion rate (GFR) and prediction of kidney function.
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Measuring the levels of creatinine is very significant for kidney function tests.
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Measuring the ability of the kidney to clear creatinine is called Crea- tinine
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clearance rate, in which this helps estimate the Glomerular Filtration Rate
I I I I I I I I I I I
(GFR). This is rate of the blood flow through the kidneys. In the pa- tient’s
I I I I I I I I I I I I I I I
case, He has an above normal value of creatinine which indicates that his
I I I I I I I I I I I I I
kidneys are not working properly. As the level of his blood creati- nine rises,
I I I I I I I I I I I I I I
the kidney disease progresses as well. The kidneys maintain normal blood
I I I I I I I I I I I
creatinine levels in the blood. if they are functioning correctly.Normal
I I I I I I I I I I I
creatinine levels for females is 0.5-1.1, normal for males is 0.6-1.2.
I I I I I I I I I I I
Therefore, creatinine levels are used to serve as an indication of kidney
I I I I I I I I I I I I
function. If creatinine levels are elevated, it tends to mean kidney injury or
I I I I I I I I I I I I I
failure.
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3. F.F.’s pain is treated in. the ED with IV morphine. It is late afternoon
I I I I I I I I I I I I I
before he is admitted to your unit, and he is scheduled for lithotripsyin
I I I I I I I I I I I I I I
the morning. What specific priorities do you identify for F.F.?
I I I I I I I I I I
1. Review F.F’s lab work and note any value that might be of concern.
I I I I I I I I I I I I
In his laboratory results, values of concern are:
I I I I I I I
• BUN – above normal (7-20 mg/dL) - an elevated BUN is a sign that the
I I I I I I I I I I I I I I
kidneys are not functioning optimally.
I I I I I
• Creatinine – above normal (1.6-1.2 mg/dL) males - these are linked to I I I I I I I I I I I
Diabetes Mellitus, poor hydration, and a diet high in protein
I I I I I I I I I I
• Glucose – hyperglycemia (70-130 mg/dl) I I I I
• LDH – below normal (140-280 U/L) - lower LDH are not typically indica-
I I I I I I I I I I I I
tive of a problem and can be. seen in patients that ingest large amounts of
I I I I I I I I I I I I I I I
Vitamin C
I I
2. Analyze the relationship between creatinine and glomerular filtra-
I I I I I I I
tion rate (GFR) and prediction of kidney function.
I I I I I I I I
Measuring the levels of creatinine is very significant for kidney function tests.
I I I I I I I I I I I
Measuring the ability of the kidney to clear creatinine is called Crea- tinine
I I I I I I I I I I I I I
clearance rate, in which this helps estimate the Glomerular Filtration Rate
I I I I I I I I I I I
(GFR). This is rate of the blood flow through the kidneys. In the pa- tient’s
I I I I I I I I I I I I I I I
case, He has an above normal value of creatinine which indicates that his
I I I I I I I I I I I I I
kidneys are not working properly. As the level of his blood creati- nine rises,
I I I I I I I I I I I I I I
the kidney disease progresses as well. The kidneys maintain normal blood
I I I I I I I I I I I
creatinine levels in the blood. if they are functioning correctly.Normal
I I I I I I I I I I I
creatinine levels for females is 0.5-1.1, normal for males is 0.6-1.2.
I I I I I I I I I I I
Therefore, creatinine levels are used to serve as an indication of kidney
I I I I I I I I I I I I
function. If creatinine levels are elevated, it tends to mean kidney injury or
I I I I I I I I I I I I I
failure.
I
3. F.F.’s pain is treated in. the ED with IV morphine. It is late afternoon
I I I I I I I I I I I I I
before he is admitted to your unit, and he is scheduled for lithotripsyin
I I I I I I I I I I I I I I
the morning. What specific priorities do you identify for F.F.?
I I I I I I I I I I
