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

[ukstudent]

"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. =)

LMAO :fnypst:You are so very very bad, but so so funny.