high bun/creatinine

[jagquarRN]

i work in a ltc facility...If I had a resident who was a very picky eater at the table but took fluids well....and if I did////she had peg tube feedings twice and night at 2200 and 0500...2 cal jevity....lab work may reveal a very high bun and creatinine could this mean she is not getting her feedings when she should be...also if I had this resident and she was in end stage renal failure could that cause lab results as such....also if I had this resident and she was getting lasix 60 mg every am would that make a difference in her lab values...also if i had this resident and she had average urine output maybe 400-500 every 8 hr shift would that have any bearing on lab values....i dont know about any weight loss at this time

[Baloney Amputation, BSN, LPN, RN]

Are you sure this isn't a homework question?

[Kymmi]

Sounds like one to me. This OP's nick is CCUnurse but I ponder that because any CCU nurse would surely know the answer to all of the above questions. For that matter any nurse should know all the answers to the above questions.

[BrnEyedGirl, BSN, MSN, RN, APRN]

UUmmmmm,...really?

[Kymmi]

RN-Cardic.....the uuuummmmm really? response was to the OP question and not my response right??

[NurseAdida]

If you are a nursing student the best way to learn is to do your own research and read. Check out Saunder's NCLEX practise book. It helps big time. Good luck with everything.

[simboka]

Sounds like one to me. This OP's nick is CCUnurse but I ponder that because any CCU nurse would surely know the answer to all of the above questions. For that matter any nurse should know all the answers to the above questions.

And why would a CCU nurse be posting questions to the geri-/LTC portion of the board.

So, OP, what's the back story?

[Slobgob]

"lab work may reveal a very high bun and creatinine could this mean she is not getting her feedings"

Yes. The NGT is in her lungs. Or so long, it reaches the cecum.

"end stage renal failure could that cause lab results as such"

No, ESRD causes high ALT/AST. Its liver failure that causes high BUN/CR. Little known fact.

"lasix 60 mg every am would that make a difference in her lab values"

Yes. It could. But I would worry about the hyperkalemia. Lasix plus Kayexalate is almost mandatory. Add insulin/D50 if needed.

"she had average urine output maybe 400-500 every 8 hr shift would that have any bearing on lab values"

Urine has nothing to do with blood. Please ask MD for 24hr CR Clearance. However, don't put on ice... it destroys creatine.

"i dont know about any weight loss at this time "

Megace or Marinol. Order it. Know it. Love it.

Hope this helps. I'm also a CCU nurse... so always looking to help out. Let me know if ya need anything more. =)

[medicrn13]

hmm...

[mn_nurse]

"lab work may reveal a very high bun and creatinine could this mean she is not getting her feedings"

Yes. The NGT is in her lungs. Or so long, it reaches the cecum.

"end stage renal failure could that cause lab results as such"

No, ESRD causes high ALT/AST. Its liver failure that causes high BUN/CR. Little known fact.

"lasix 60 mg every am would that make a difference in her lab values"

Yes. It could. But I would worry about the hyperkalemia. Lasix plus Kayexalate is almost mandatory. Add insulin/D50 if needed.

"she had average urine output maybe 400-500 every 8 hr shift would that have any bearing on lab values"

Urine has nothing to do with blood. Please ask MD for 24hr CR Clearance. However, don't put on ice... it destroys creatine.

"i dont know about any weight loss at this time "

Megace or Marinol. Order it. Know it. Love it.

Hope this helps. I'm also a CCU nurse... so always looking to help out. Let me know if ya need anything more. =)

Love your sense of humor.. I needed a good laugh!

[Txnursekristi]

Most Important Medical Equation:

AGE + BUN = LASIX DOSE

[BrnEyedGirl, BSN, MSN, RN, APRN]

RN-Cardic.....the uuuummmmm really? response was to the OP question and not my response right??

Most definitely Kymmi :)