Blood Urea
Urea is the main end product of protein metabolism, excreted in urine with varying levels in different conditions like dehydration, renal failure, and liver disease. Discover its normal values, physiological changes, and medications affecting blood urea levels.
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Presentation Transcript
Blood Urea Presented By Assist.Lecturer Sarah Sameer Sami M.Sc. In Biochemistry/ Clinical laboratory sciences
What is urea? Urea is the main end product of protein metabolism. It is formed by removal of amino group from amino acids in liver and excreted in urine. Urea represents 50% of non protein nitrogen of normal blood.
Normal blood contains 15-40 mg/dl of urea In adults over 60 years it rises to 50 mg/dl During pregnancy it is 15-20 mg/dl Raised values are seen in dehydration In renal failure it rises up to 500 mg/dl In sever liver disease decreased blood urea is
Reference values: Newborns (< 10 days) : 6.4-53.5 mg/dl Adults (12-60 years) : 15-40 mg/dl Physiological: Increase: It occurs in normal people on high protein diet.
Decrease: In infants Pregnancy Low protein and high carbohydrates diet
Pathological: Increase: Excessive formation: increased protein catabolism in fever and sepsis.
Faulty excretion: Pre-renal failure: a low renal blood supply leads to reduced GFR ex: CHF Renal failure: damage to nephrons leads to decreased urine formation and excretion ex: nephritis Post-renal failure: urinary tract obstructions
Decrease: In transfusion of glucose solution due to dilution of body fluids and reduced protein catabolism What are medicines that increase blood urea? Amphotericin B Nafcilline Gentamicin Diuretics Corticosteroids