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Ammonia Level Lactulose
Low serum phophate/creatinin+phosphate excretion 24h urine, high tubular phophate reabsorption+urine d-pyr/crea ratio. Normal CA/PTH/Dvit/intake. Bad?
Do not worry: probably not problematicGet a more detailed answer ›
Not exactly: The anesthetic itself does not raise BUN and creatinine. However, if the patient is inadequately hydrated, or has decreased blood flow to the kidneys during the operation these values can increase. Talk to your anesthesiologist if you have concerns about this. ...Read moreSee 1 more doctor answer
Blood results: alt/sgpt serum level=40 iu/l, serum alkaline phosphatase=43 iu/l, serum bilirubin level=2 umol/l, serum urea level=2.3 mmol/l. Normal?
Normal: It is very important to know why these were drawn in what sounds to be an otherwise healthy 19 year old. Did you expect to find something wrong? ...Read more
Is serum Osmolality typically elevated in metabolic acidosis/alkalosis and ethylene glycol poisoning?
Yes: Particularly with ethylene glycol poisoning. For good health - Have a diet rich in fresh vegetables, fruits, whole grains, milk and milk products, nuts, beans, legumes, lentils and small amounts of lean meats. Avoid saturated fats. Exercise at least 150 minutes/week and increase the intensity of exercise gradually. Do not use tobacco, alcohol, weed or street drugs in any form. Practice safe sex. ...Read more
Replace vitamin d: Vitamin d deficiency is very common. You need vitamin d to absorb calcium from the intestines. When you don't have enough vitamin d, in order to keep your blood calcium levels normal, your make more PTH to pull calcium from the bones and that raises the alkaline phosphatase. Replacing vitamin d should normalize all the tests. ...Read more
Dont know: Do not know.Get a more detailed answer ›
Onset of dialysis: There are no set levels for BUN and creatinine (c) to start dialysis. The onset of dialysis is determined by a 24 hour urine collection for c clearance. If the patient is a diabetic, dialysis usually starts at a c clearance of 15 ml/min or less. If the patient is a non-diabetic, dialysis starts at a c clearance of. ...Read more
F/36yrs. Low BP, CMPanel/glucose/insulin normal. Creatinine,Urine=145.7mg/dL, Microalbumin,Urine 59.3ug/mL(HI)&Microalb/Creat Ratio 40.7 (Hi). Cause?
Acid-base: Physiology is like a delicate balance. If one organ fails to carry its weight, another organ has to compensate. For your acid-base balance, bicarbonate (sodium bicarbonate) (regulated by the kidney) is one side of the balance, and co2 (the lungs responsibility) is the other. If the lungs allow you to accumulate too much co2, then the kidneys (if healthy) will make and retain more bicarbonate (sodium bicarbonate). ...Read more
Sodium-133, potassium-5.2, urea-105, creatinine-4.2. How to reduce the urea and creatinine levels?
High Blood Levels: To properly answer your question, more information is needed. Specifically, your age, weight and race will give a nephrologist an idea of what your kidney function is. You need to have an ultrasound of your kidneys to see if you have obstruction present. Please see a nephrologist so that doctor can do a history and physicalexam and order the ultrasound as well as a 24 hour urine collection. ...Read moreSee 1 more doctor answer
Ten: It is generally accepted that a GFR of 10 or less or a serum creatinine level of 10 or higher to the point at which dialysis is started. However, dialysis is started when all other therapies have or are failing and the only alternative left is dialysis. Why? Because dialysis is a huge life changer for anyone irrespective of age. ...Read moreSee 2 more doctor answers
High potassium: Diabetic ketoacidosis (DKA) increases potassium (K) levels due to the acidosis (A) seen in DKA. A causes K to leave the cells and go into the blood. As DKA is treated, the A resolves, increasing the pH of the blood, so K goes back into the cells lowering the blood K level. ...Read more
OtherIssues&Slightly: Bun=blood urea nitrogen, a breakdown product of proteins being cleared. So rates of protein breakdown, combined with the amount of h20 it is in, determine the BUN (a concentration within extracellular water). Co2 (aka carbonic acid, in water) is primarily determined by rate of breathing (blowing off co2) & is the primary brain driver for breathing rate (along with exercise & anxiety). ...Read more
What means a high creatinin clearance levels?My serum creatinin is 0, 8ml/dl, and clearance creatinin was 161ml/min with normal values 70 to 130ml/min.
Sounds like: Your kidney function is good and everything is working fine. ...Read more
Lactulose: Dietary ammonia comes from metabolism of protein; reducing the total protein in your diet may help, but there is the counter problem of needing protein to actually make things the body needs. The best management for ammonia is to be compliant with lactulose to eliminate it from the gut. ...Read more
Not typically: But I have found the ammonia levels in most commercial labs to be not that accurate. You may want to just recheck it. ...Read more
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