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Acute Renal Injury (AKI) or Acute Renal Failure (ARF)
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Acute Renal Injury (AKI) or Acute Renal Failure (ARF)
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Acute Renal Injury (AKI) or Acute RenalFailure (ARF)
, 1
LABS:
Albumin: 3.5-5 g/dL of total protein. → In AKI, decreased levels could mean severe
burns, severe malnutrition, renal disorders.
→ In AKI, Increased levels could mean dehydration,
severe vomiting, severe diarrhea.
pH: 7.35 - 7.45 → anything above 7.45 is a b ase, which in terms
means alkalotic (alkalosis)
→ anything below 7.35 is an acid, which in terms
means acidotic (acidosis)
PaCo2: 35 - 45 mmHg → anything LESS than 35 is a base, which in terms
→ represents respiratory level means alkalotic (alkalosis)
→ anything ABOVE 45 is an acid, which in terms
means acidotic (acidosis)
→ < 35 mmHg = Hypocapnia
→ > 45 mmhG = Hypercapnia
HCO3: 24 - 28 mEq/L → anything above 28 i s a base, which in terms
→ HCO3 represents metabolic means alkalotic (alkalosis)
→ anything below 24 is an acid, which in terms
means acidotic (acidosis)
PaO2: 80 - 100 mmHg → < 80 mmHg = Hypoxemia
→ pressure of dissolved O2 in blood
SaO2: 97 - 100% → Hemoglobin saturation
Base Excess: -3.0 to + 3.0 → indicator of buffering capacity
Blood urea nitrogen (BUN): 5-25mg → Decreased BUN: hypervolemia, malnutrition,
liver disease, low-protein diet, & dialysis.
→ Increased BUN: dehydration, p rerenal failure,
or renal failure
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