Patient identifiers

-Medical record number

-home telephone number

What lab values should a nurse monitor for a patient with chronic renal

failure?

■ Urinalysis

☐ Hematuria, proteinuria, and alterations in specific gravity

☐ Serum creatinine

- Gradual increase of 1 to 2 mg/dL per every 24 to 48 hr for acute renal

failure (ARF)

- Gradual increase over months to years for chronic renal failure (CRF)

exceeding 4 mg/dL

■ Blood urea nitrogen (BUN)

- 80 to 100 mg/dL within 1 week with ARF

- Gradual increase with elevated serum creatinine over months to years for

CRF

- 180-200 mg/dL with (CRF)

■ Serum electrolytes

- Decreased sodium (dilutional) and calcium, increased potassium,

phosphorus, and magnesium

■ Complete blood count (CBC)

- Decreased hemoglobin

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