Hepatic and Renal Labs

[silverhalide]

Can someone give me a listing of all the Labs monitored for Hepatic and Renal Function or point me in the direction of a website that will list--and which is which.

Thanks!!

[deever167]

here is a brief overview that may help you - i did this for my nursing classes.

hepatic (liver function tests)

alt (sgpt)

(alanine aminotransferase)

4-36 units/l

primarily found in liver

ast (sgot)

(aspartate aminotransferase)

5-40 units/l

found in liver but in other organs such as kidneys, muscles, heart

bilirubin

total:0.1-1.2 mg/dl

direct: 0.1-0.3 mg/dl

this is what causes jaundice (yellow color in eyes & skin)

ggt (ggtp)

gamma-glutamyl transferase

0-45 unit/l

found primarily in the liver & kidney

kidney function:

creatinine

0.5-1.5 mg/dl

produced due to muscle catabolism & filtered & excreted by the kidneys. high levels may be related to dehydration or kidney insufficiency / failure

bun

(blood-urea-nitrogen)

5-25 mg/dl

end product of protein metabolism that is excreted by the kidneys. may be elevated due to dehydration, but will return to normal when hydrated, if it don't it could indicate pre-renal failure or renal failure

urinalysis

reagent strip or send to lab

normal range: per dipstick brand

the bottle of reagent strips will have a table to measure what the dipstick results are.

urine albumin(protein)

dipstick or send to lab

0-5 mg/dl

protienuria - usually caused by renal disease. usually due to impaired reabsorbtion or glomerular damage

osmolality (urine)

50-1200mosm/kg/h2o

shows the urine concentration of solutes (particles) in a urine specimen

• these are the major test that are done and if these are abnormal then they do more specific testing to narrow down the exact cause. just because one test is abnormal it may or may not indicate acute or chronic disease. usually when several of them are off it needs further investigation.
  
  let me know if this helps
  
  

[RNTutor, BSN, RN]

That is a nice review, deever167!

Another good place to check for this info would be your Med-Surg textbook, though. Most will list all the labs and tests associated with each system in that system's chapter. Or if you happen to have a "Manual of Diagnostic and Laboratory Tests," they will have the info too. I bought that when I started nursing school because it was recommended, but unfortunately never realized the usefulness of it until I was almost finished...

[DolceVita, ADN, BSN, RN]

@deever167

Nice!