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In medicine, the urea-to-creatinine ratio (UCR [1]), known in the United States as BUN-to-creatinine ratio, is the ratio of the blood levels of urea (mmol/L) and creatinine (Cr) (μmol/L). BUN only reflects the nitrogen content of urea (MW 28) and urea measurement reflects the whole of the molecule (MW 60), urea is just over twice BUN (60/28 ...
BUN is an indication of kidney health. The normal range is 2.1–7.1 mmol/L or 6–20 mg/dL. [1]The main causes of an increase in BUN are: high-protein diet, decrease in glomerular filtration rate (GFR) (suggestive of kidney failure), decrease in blood volume (hypovolemia), congestive heart failure, gastrointestinal hemorrhage, [5] fever, rapid cell destruction from infections, athletic ...
Measurements of urea and creatinine (Cr) in the blood are used to assess renal function. For historical reasons, the lab test measuring urea is known as "blood urea nitrogen" (BUN) in the US. The BUN:Cr ratio is a useful measure in determining the type of azotemia and will be discussed in each section below. A normal BUN:Cr is equal to 15. [3]
UUN is determined from 24-hour urine collection. Along with UUN, values for BUN, protein content of diet, enteral or parenteral nutrition, and notable outputs other than urine (gastric residual, fistula output, drainages) are needed to calculate nitrogen balance. Nitrogen Balance = Protein intake/6.25- (UN + 4*) * For average loss via sweat and ...
An alternative estimation of kidney function can be made when interpreting the blood plasma concentration of creatinine along with that of urea. BUN-to-creatinine ratio (the ratio of blood urea nitrogen to creatinine) can indicate other problems besides those intrinsic to the kidney; for example, a urea concentration raised out of proportion to ...
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It is complex and tedious to calculate, although web-based calculators are available to do this fairly easily. Many nephrologists have difficulty understanding it. Urea is not associated with toxicity. [4] Standardized Kt/V only models the clearance of urea and thus implicitly assumes the clearance of urea is comparable to other toxins.
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