Doctor insights on:
Ckd Epi Estimate
GFR: Glomerular filtration is is the amount of filtering that occurs in the glomeruli of the kidney. We use this number (usually an estimation based on creatinine, age, race, sex and albumin) to determine how well the kidneys are functioning. It tells us how much kidney function (or clearance) someone has. ...Read moreSee 1 more doctor answer
Chronic kidney disease (CKD), also known as chronic renal disease, is a progressive loss in renal function over a period of months or years. Chronic kidney disease is identified by a blood test for creatinine. Higher levels of creatinine indicate a decreased capability of the kidneys ...Read more
African-American, BUN 16, Creat 1.16. GFR 52. Do I use the MDRD calculator/ multiply results by1.210? What is the normal level GFR for AfA?
Norm is >60 mL/min: GFR, glomerular filtration rate, measures creatinine, a waste product in the blood that comes from muscle activity. The kidneys normally remove creatinine from the blood. As kidney function slows down, creatinine level goes up.African Americans tend to have more muscle mass than other ethnicities, so the calculation of GFR is adjusted. Normal GFR is 60 mL/min or greater. Hope that helps ...Read more
I had one more quick question. If bun 25, creatinine 1.5, bun/creat ratio 17, egfr 58...The egfr means im in stage 3 CKD right? 58% kidney function?
Stage 3 CKD: You are correct in that your estimated GFR of 58 ml/min puts you into stage 3 chronic kidney disease. Remember, your GFR is estimated. The actual result may be greater, or lower, than the egfr. To get your acutal gfr, have a 24 hour urine for creatinine clearance. Ask the physician who orders this test to have proteinuria (p) assess in that sample. If p is present, it may needed to be treated. ...Read moreSee 1 more doctor answer
Blood test: estimated creatinine clearance test (low), what could it indicate? EGFR & creatinine normal. Potassium & sodium low. 28yr/f
How do you FEEL?: Many (maybe most) pathologists and nephrologists aren't impressed with the current practice of labs estimate GFR, creatinine clearance and so forth from a spot creatinine. Some formulas include race "because black people are more muscular than white people" -- these were never intended to be applied to individuals. Frankly, if your others labs are healthy, I'd ignore it. ...Read more
Kidney:sod-141 potas-5.6 chlo-104 urea-3.3(19.8) creatinine-76(0.86)egfr>60 hba1c-8.8. Diabetes from 6 yrs.Age-39 ht-5.7 wt-63.How to reduse potass?
Likely RTA type 4: There is an entity called type 4 renal tubular acidosis which is seen associated with diabetes. Serum bicarbonate (sodium bicarbonate) is slightly low and potassium is slightly high. First need to look at the medication list to see any of them causing/ contributing to high potassium. If also gave hypertension, can try adding hydrochlorothiazide which can lower potassium. Also to avoid high potassium foods. ...Read moreSee 1 more doctor answer
Ana positive 160 with lambda bj protein in urine (total 2 gm/day). Diabetic ckd r/o myeloma. Creatinine 1.5-2.6 variable. Hem unaware of lcdd. Steps?
Multiple myeloma: Multiple myeloma diagnosis needs more information, need the hemoglobin level, calcium level, need serum immunoglobulin level and urine BJ protein of course. Some times you may need a bone marrow biopsy for the confirmation of the diagnosis. You need to see an Oncologist/Hematologist ...Read more
What is the most accurate formula to calculate gfr? White female 53, cr 1.3 bun 26. Was cr 1.5 bun 16 a month ago. Sle pt.
GFR calculator: The national kidney foundation recommends using the ckd-epi creatinine equation (2009), which is available online at http://www.Kidney.Org/professionals/kdoqi/gfr_calculator.Cfm the GFR for the above numbers are 39 and 47 ml/min /1.73m^2. The calculator also includes adjustments for height and weight. ...Read more
Hi ,would you say this is stage 1 ckd serum creatinine 56umol,serum potassium 4.6 ,sodium 140mmol. GRF calcuated abbreviatd MRDR 90ml/min1.73m2. )?
Yes: Stage 1 CKD is defined as a GFR of 90 or more with some kidney function abnormality. Normal kidney GFR ranges 90 to 110 for more people but increases with certain conditions, especially pregnancy. If your urine is normal, blood pressure is normal and other blood tests are normal, you have normal kidney function. ...Read more
Bun createnine ratio high 29, bun 12.99 and createnine 0.44. Sodium136, k 4.23 chloride 99 ,bicarbonate (sodium bicarbonate) 25.4, specific gravity 1.015. ?
Anemia and kidney: Your mother has anemia of chronic kidney disease (ckd) and it is appropriate that she is receiving epogen (epoetin alfa). As kidneys go into later stages of ckd, they cannot make a hormone that stimulates the bone marrow to make red blood cells and are anemic as a result. Your mother needs this medication to have a higher hemoglobin than she would have if she did receive this drug and would feel weak. ...Read moreSee 1 more doctor answer
Here are some ...: Life expectancy in general or in relation to a disease should be taken as a general reference. So, a patient with the described clinical profile naturally lives less years to come. How long? No one can put a finger at it. Nonetheless, living longer if possible is still the common wish for all, except occasional private hidden agenda. How? Lifestyles + timely medical care give best possible hope. ...Read more