Sotfs Does Crt Dmg Increase With Ng



  1. Sotfs Does Crt Dmg Increase With Ng Tanghalan
  2. Sotfs Does Crt Dmg Increase With Ng Mga

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What are the other Names for this Test? (Equivalent Terms)

  • ACR Blood Test
  • Microalbumin/Creatinine Ratio Panel
  • UACR Blood Test

What is Urine Microalbumin to Creatinine Ratio Test? (Background Information)

  • Microalbumin refers to concentrations of albumin in the urine that are abnormal, but undetectable by traditional methods
  • Albumin is a protein made by the liver in large quantities. It circulates in blood, where it acts as a transport vehicle for various substances including water, fatty acids, and drugs. Albumin is the most abundant protein found in blood
  • The kidneys, along with the liver and spleen, filter blood and excrete waste as urine. The site of filtration is a microscopic sieve-like structure called the glomerulus. There are roughly 1 million glomeruli in each kidney
  • Normally, only ions and small molecules can pass through the glomerulus and make it to the filtrate and subsequently into urine. Typically, no proteins are present in urine
  • However, when the glomeruli of the kidneys are damaged, they let through proteins and other substances. Thus, the presence of proteins, such as albumin in the urine, suggests kidney disease, or nephropathy. It often accompanies diabetes
  • Proteinuria, the term for proteins appearing in urine, also occurs with strenuous exercise. The mechanisms for this are unclear, but may involve hormonal and central nervous system stimulation leading to increased glomerular permeability
  • Microalbuminuria, or the presence of trace amounts of albumin in the urine, precedes significant nephropathy. It can be used as warning sign for nephropathy, 5-7 years before serious damage occurs
  • Creatinine is formed when a high-energy compound called creatine is expended by muscles to fuel their contraction. It is the end product of creatine metabolism. After creatine is used up, the creatinine that is produced, travels through blood and exits through the kidneys
  • The rate of creatinine formation depends on an individual’s muscle mass. Aside from this, creatinine formation rate is fairly constant during normal conditions. This makes it a useful indicator for muscle and kidney disorders
  • Creatinine levels usually decrease with age because of age-dependent decreases in muscle mass. Damage to muscles resulting from injury or degenerative diseases causes the release of creatinine in blood. This leads to a spike in the normally constant blood creatinine levels
  • Both microalbumin and creatinine are useful indicators for monitoring and assessing chronic diseases such as diabetes. These measurements can be combined into a microalbumin/creatinine ratio to more accurately determine any kidney filtering deficiencies
  • Measuring creatinine provides a baseline for how much normally escapes the kidneys’ filtering ability. Dividing the microalbumin measurement by this baseline value provides a more accurate assessment of how much creatinine is escaping filtration
  • The microalbumin/creatinine ratio panel of urine tests helps determine the microalbumin/creatinine ratio from calculations involving the separate values. It is used to monitor and assess chronic conditions such as diabetes

What are the Clinical Indications for performing the Urine Microalbumin to Creatinine Ratio Test?

Following are the clinical indications for performing tests to determine the Urine Microalbumin to Creatinine Ratio:

  • As part of a comprehensive or basic metabolic panel of tests
  • Monitoring treatment for kidney disease
  • Muscle weakening
  • Fatigue
  • Recent trauma
  • Frequent urination, increased thirst
  • Blurry vision
  • Rapid weight loss
  • High blood pressure
  • Mid-back pain
  • Tingling and numbing in the extremities
  • Obesity
  • History of cardiovascular disease
  • History of degenerative muscle disease
  • Individuals with type 1 diabetes and type 2 diabetes
  • Family history of chronic kidney disease
  • Individuals who are at an increased risk for cardiovascular disease

How is the Specimen Collected for Urine Microalbumin to Creatinine Ratio Test?

Following is the specimen collection process for Urine Microalbumin to Creatinine Ratio urine test:

Sample required: Urine

Process: Collection of a random urine sample into a sterile container.

Preparation required - the urine sample should not be collected under the following circumstances:

  • After exercise and physical exertion
  • If one has currently or in the recent past been diagnosed with urinary tract infection
  • Currently having acute illness
  • After intravenous fluid therapy
  • Immediately after a major surgery

What is the Significance of the Urine Microalbumin to Creatinine Ratio Test Result?

  • If the individual has an Urine Microalbumin to Creatinine Ratio less than 30 (mg/g), then he/she is considered to be at a low risk
  • If the individual has an Urine Microalbumin to Creatinine Ratio over 30 (mg/g), then he/she is considered to be at a high risk

The laboratory test results are NOT to be interpreted as results of a 'stand-alone' test. The test results have to be interpreted after correlating with suitable clinical findings and additional supplemental tests/information. Your healthcare providers will explain the meaning of your tests results, based on the overall clinical scenario.

Additional and Relevant Useful Information:

  • Certain factors influence the results of this urine test and these include hydration status, age, pregnancy, body size and composition, and diet

Certain medications that you may be currently taking may influence the outcome of the test. Hence, it is important to inform your healthcare provider of the complete list of medications (including any herbal supplements) you are currently taking. This will help the healthcare provider interpret your test results more accurately and avoid unnecessary chances of a misdiagnosis.

Sotfs Does Crt Dmg Increase With Ng Tanghalan

Please visit our Laboratory Procedures Center for more physician-approved health information:

References and Information Sources used for the Article:

    Keogh, K. (2010). Nursing Laboratory and Diagnostic Tests Demystified. New York City, NY: McGraw-Hill Medical.

    Lab Tests Online (2015, June 12). Retrieved September 2, 2014 from http://labtestsonline.org/understanding/analytes/microalbumin/

    Martini, F., Nath, J. L., & Bartholomew, E. F. (2012). Fundamentals of anatomy & physiology (9th ed.). San Francisco: Benjamin Cummings.

    Schnell, Z. B., Van, L. A., & Kranpitz, T. R. (2003). Davis's Comprehensive handbook of laboratory and diagnostic tests: With nursing implications. Philadelphia: F.A. Davis.

    Wilson, D. D. (2008). McGraw-Hill's manual of laboratory & diagnostic tests. New York: McGraw-Hill Medical.

Reviewed and Approved by a member of the DoveMed Editorial Board
First uploaded: Sept. 7, 2015
Last updated: Jan. 22, 2019

Sotfs Does Crt Dmg Increase With Ng

Cardiac Resynchronization Therapy with Defibrillation (CRT-D)

For patients with heart failure who are getting cardiac resynchronization therapy and considering defibrillation

Sometimes the heart pumps poorly. In other words, the heart beats out of sync. This can be caused by damage to the heart, age, genetics, certain medicines, and other reasons. CRT helps the heart pump normally by helping the right and left ventricles of the heart pump together. To do this, special wires are placed in the heart to pace the heart muscle in a specific way that improves the pumping function.

Sotfs Does Crt Dmg Increase With Ng Mga

You and your doctor can decide together if you would like to have a CRT implantation to help treat your heart failure. However, there is another important part of this decision. Patients with heart failure may be at risk for sudden dangerous heart rhythms. These heart rhythm abnormalities may be life-threatening, and in some cases can cause a cardiac arrest. The best treatment for these dangerous heart rhythms is a “defibrillator.” This is a device that can sense these heart rhythms and deliver a shock to your heart if you need it. CRT can be combined with a defibrillator. This combination is sometimes abbreviated “CRT-D.”

A CRT-D is a small device that combines cardiac resynchronization therapy with defibrillation. It is placed under the skin of the chest. Wires (called “leads”) connect the CRT-D to the heart. A CRT-D is designed to prevent an at-risk person from dying suddenly from a dangerous heart rhythm. CRT-Ds sense dangerous rhythms and treat them right away. The CRT-D uses pacing or an electrical shock to stop a dangerous heart rhythm and change it to a normal heart rhythm. This happens much faster than a person could get to the hospital for treatment.

Considering CRT with defibrillation FAQ's

Yes, the CRT-D is put under the skin and one or more wires (called “leads”) are put into the heart. The surgery takes a few hours. You may stay in the hospital overnight

The defibrillator will not make you feel better. However, the cardiac resynchronization therapy may make you feel better.

Sotfs does crt dmg increase with ng tanghalan
4 out of every 100 patients will experience some bleeding after surgery. 2 out of every 100 patients will have a serious problem like damage to the lung or heart. About 1 out of every 100 patients will develop an infection. Some patients develop anxiety or depression from being shocked.

Patients say that getting shocked is like “being kicked in the chest.” Some patients pass out before they are shocked and do not remember being shocked. Before a shock is delivered, the CRT-D will try to correct your dangerous heart rhythm.

You may survive a dangerous heart rhythm only if you are treated within a few minutes with an external shock. However, many patients die before emergency help can reach them.

Without a CRT-D: Patients without a CRT-D are more likely to die suddenly from a dangerous heart rhythm. Without a CRT-D, over 5 years, 36 out of every 100 patients with heart failure will die over a 5-year period.

With a CRT-D: Patients with a CRT-D are less likely to die suddenly of a dangerous heart rhythm. With a CRT-D, 29 out of every 100 patients with heart failure will die over a 5-year period. This means 7 more patients would live with a CRT-D over a 5-year period.

Here is a document outlining all evidence for practice decision aids, to help you in your decision.

View Supporting Evidence