Test2 Flashcards
(69 cards)
- List the functions of the kidneys.
Main function is to maintain homeostasis
As well as
Conserves water and electrolytes during times of negative
imbalances
- Increases water and electrolyte output in times of positive
imbalances
- Conserves nutrients
- Excrete end products of metabolism (urea and creatinine)
- Produce hormones/enzymes
- Aid in vitamin D activation
- What does BUN stand for?
Blood urea nitrogen
- How does BUN evaluate kidney function?
by measuring amount of urea nitrogen in blood.
(Kidney not working properly= BUN levels icrease , less urea excreted in urine)
- How does dehydration effect BUN levels?
Increased BUN levels
Can increase retention of urea (azotemia)
- What are 2 reasons BUN levels may be increased that aren’t related to kidney disease?
Dehydration + high protein diet / strenuous exercise
- What is Creatinine? Where is it produced?
By product of metabolic breakdown of creatine in skeletal system. Increase in serum creatinine means decreased kidney function
. Which kidney test is affected by diet?
BUN is affected by diet + liver
CREA not affected and is number one renal test
Which kidney test is affected by muscle mass?
Creatinine
As muscle mass decreases will impact levels on chemistry evaluation
Which is the #1 kidney test?
Creatinine
List some conditions that can cause abnormal BUN and Creatinine levels.
-Dehydration
- Kidney infection
- Kidney failure
- Toxic injury to the kidneys
- Urinary blockage
- Shock
- Severe heart disease
- Muscle wasting or severe weight loss
What is the name of the test that uses urine to assess kidney function? What result would indicate renal disease
Urine protein/creatinine ratio (UPC)
normal is UP/C of <1
renal disease is UP/C of >5
- What kidney test is used in avian species instead of BUN?
Uric acid
- What breed of dog commonly has uric acid crystals in its urine? Why?
Dalmatians Hepatocytes have defect in uric acid uptake, so a decreased conversion to allantoin. Therefore, they exercise uric acid in
their urine instead of allantoin.
- Name two glomerular function tests and briefly describe how they work.
Effective renal plasma flow (ERPF)
Glomerular filtration Rate (GFR)
Both administer substance that is processed through kidneys + monitor levels of substance in plasma +/or urine
What are some benefits to the SDMA test?
increases when 40% of kidney function is lost and as little as 25%
detects kidney issues earlier than creatinine
useful to decipher renal function in the muscle wasted feline
Pancreatic assays are broken down into two groups. What are they and what is the difference?
Endocrine produces horomones
Exocrine (acinar) produces digestive enzymes
What are 3 things that can happen if the pancreas isn’t working properly?
pancreatitis
diabetes mellitus
exocrine pancreatic insufficiency (not enough digestive enzymes)
List the common pancreatic assays and which group they belong in.
exocrine- amylase, lipase, trypsin, serum typsinlike immunoreactivity TLI , serum pancreatic lipase immunoreactivity
endocrine - glucose, fructosamine, glucosylated hemoglobin
What are each of the digestive enzymes responsible for breaking down?
amylase- breakdown starch and glucose
lipase- breakdown fatty acid chains of lipids
trypsin - breakdown of proteins ingested in food
Which hormone, produced by pancreas, effects glucose levels in blood
insulin
List four things that may cause a rise in glucose levels.
- Epinephrine (fight or flight)
- Hyperthyroidism
- Glucocorticoids (steroids)
- Diabetes mellitus
How does an increase or decrease in insulin affect glucose levels?
A decrease in insulin production means more extracellular glucose
An increase in insulin production means more glucose going into the cells.
When would we use a whole blood sample for testing glucose?
for Glucometer
What is fructosamine?
measures glucose bound to protein (albumin)