Kidney Profile, Extended
Fasting Required: Yes – 12 Hours

Specimen: Blood and Urine

Results: 1-2 Business Days

Tests Included: CMP-14, CBC, Lipids, PTH, and Urinalysis

CMP-14:

Glucose: Blood sugar level, the most direct single test to uncover diabetes, may be used not only to identify diabetes, but also to evaluate how one controls the disease.

Uric Acid, Serum: A by-product of protein metabolism eliminated through the kidneys. Uric acid is an indicator of kidney function.

Bun (Urea Nitrogen): Another by-product of protein metabolism eliminated through the kidneys. BUN is an indicator of kidney function.

Creatinine, Serum: An indicator of kidney function

Bun/Creatinine Ratio: Calculated by dividing the BUN by the Creatinine

Sodium, Serum: One of the major salts in the body fluid, sodium is important in the body’s water balance and the electrical activity of nerves and muscles.

Potassium: Helps to control the nerves and muscles

Chloride, Serum: Similar to sodium, it helps to maintain the body’s electrolyte balance

Calcium, Serum: A mineral essential for development and maintenance of healthy bones and teeth. It is important also for the normal function of muscles, nerves and blood clotting.

Phosphorous: Together with calcium, it is essential for healthy development of bones and teeth. Associated with hormone imbalance, bone disease and kidney disease. It is found mainly in bones and teeth. NOTE: a temporary drop in phosphorus level can be seen after a meal.

eGFR: Every day, healthy kidneys filter about 200 quarts of blood and produce about 2 quarts of urine. The glomerular filtration rate refers to the amount of blood that is filtered by the kidneys per minute. When kidney function declines due to damage or disease, the filtration rate decreases and waste products begin to accumulate in the blood.

Iron, Serum: An abnormally low test result may indicate iron deficiency anemia.

Protein, Total Serum: Together with albumin, it is a measure of the state of nutrition in the body.

Albumin, Serum: Serum one of the major proteins in the blood and a reflection of the general state of nutrition

Globulin, Total: A major group of proteins in the blood comprising the infection fighting antibodies

Albumin/Globulin Ratio: Calculated by dividing the albumin by the globulin

Bilirubin, Total: A chemical involved with liver functions. High concentrations may result in jaundice.

Alkaline Phosphatase, S: A body protein important in diagnosing proper bone and liver functions

Lactate Dehydrogenase (LDH): An enzyme found mostly in the heart, muscles, liver, kidney, brain, and red blood cells. When an organ of the body is damaged, LDH is released in greater quantity into the blood stream.

Aspartate Aminotransferase (AST or SGOT): An enzyme found in skeletal and heart muscle, liver and other organs. Abnormalities may represent liver disease.

Alanine Aminotransferase (ALT or SGPT): An enzyme found primarily in the liver. Abnormalities may represent liver disease.

GGT: Also known as Gamma-glutamyl transpeptidase, GGTP Formal name: Gamma-glutamyl transferase helps to detect liver and bile duct injury. Some doctors use it in all people they suspect of having liver disease, others use it only to help explain the cause of other changes or if they suspect alcohol abuse.

Lipids:

Cholesterol, Total: A sterol in the blood. Knowing your cholesterol may be as important as knowing your blood pressure. Elevated cholesterol is associated with an increasing risk of coronary heart disease.

HDL: Cholesterol High-density lipoproteins are believed to take cholesterol away from cells and transport it back to the liver for processing or removal. They have become known as the “good” cholesterol as persons with high levels of HDL may have less heart disease. Low HDL could be the result of smoking and lack of exercise.

VLDL: Very Low Density Lipoprotein (VLDL) is one of three major lipoprotein particles. The other two are high density lipoprotein (HDL) and low density lipoprotein (LDL). Each one of these particles contains a mixture of cholesterol, protein, and triglycerides, but in varying amounts unique to each type of particle.

LDL: Cholesterol Low-density lipoproteins contain the greatest percentage of cholesterol and may be responsible for depositing cholesterol on the artery walls. For that reason, they are known as the “bad” cholesterol.

Total Cholesterol/HDL Ratio: Calculated by dividing the total cholesterol by the HDL cholesterol. Ratio used by physicians in determining your relative risk for developing cardiovascular disease.

Triglycerides: Triglycerides are fat in the blood responsible for providing energy to the cells of the body. Triglycerides should be less than 400 mg/dl even in a non-fasting state.

CBC:

WBC: White blood cells are the body’s primary defense against disease. White blood cells help fight infection.

RBC: Red blood cells are responsible for carrying oxygen to and carbon dioxide away from all cells. Iron deficiency will lower RBC.

Hemoglobin: A chemical compound inside red cells that transports oxygen through the blood stream to all cells of the body. Oxygen is needed for healthy organs. Hemoglobin gives the red color to blood.

Hematocrit: Hematocrit measures the amount of space red blood cells take up in the blood. It is reported as a percentage.
Lymphocytes—The results of this and basophils, eosinophils, monocytes and neutrophils deal with white blood cell function. Important to the body’s defense against infection. Also important in the assessment of nutritional status.

Monocytes: The results of this and basophils, eosinophils, lymphocytes, and neutrophils deal with white blood cell function. Important to the body’s defense against infection. Also important in the assessment of nutritional status.

MCH Mean: Mean corpuscular hemoglobin (abbreviated as MCH) is an estimate of the amount of hemoglobin in an average red blood cell.

MCHC Mean: Mean corpuscular hemoglobin concentration (abbreviated as MCHC) is an estimate of the concentration (amount) of hemoglobin in a given number of packed red blood cells.

MCV Mean: Average amount of space occupied by each red blood cell. Red blood cells help carry oxygen in the blood.

Neutrophils: The results of this and basophils, eosinophils, lymphocytes, and monocytes deal with white blood cell function. Important to the body’s defense against infection and also important in the assessment of nutritional status.

Platelets: Blood cell particles involved with the forming of blood clots.

RDW: Red cell distribution width (RDW) is a calculation of the variation in the size of your RBC’s. In some anemias, such as pernicious anemia, the amount of variation (anisocytosis) in RBC size (along with variation in shape – poikilocytosis) causes an increase in the RDW.

PTH, Intact:

PTH (Parathyroid Hormone)is responsible for the regulation of serum calcium levels. It works in three ways to help raise blood calcium levels back to normal: Takes calcium from the body’s bones, stimulates the activation of vitamin D in the kidney, and suppresses the excretion of calcium in the urine while encouraging excretion of phosphorus. PTH levels will vary during the day, peaking at about 2 a.m. Drugs that may increase PTH levels include phosphates, anticonvulsants, steroids, isoniazid, lithium, and rifampin.

Urinalysis, Complete:

Useful in the evaluation of conditions such as urinary tract infection, dehydration, and kidney stones. Urinalysis Includes: Color, appearance, specific gravity, pH, protein, glucose, occult blood, ketones, leukocyte esterase, nitrite, bilirubin, urobilinogen, and microscopic examination of urine sediment.

Note: Result turn around times are an estimate and are not guaranteed. Our reference lab may need additional time due to weather, holidays, confirmation/repeat testing, or equipment maintenance.

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