KFT with Electrolytes (Kidney Function Test with Electrolytes)
Understanding KFT with Electrolytes (Kidney Function Test with Electrolytes)
What is KFT with Electrolytes (Kidney Function Test with Electrolytes)?
A KFT with Electrolytes (Kidney Function Test with Electrolytes) evaluates your kidney function, diagnoses kidney disease, and monitors an ongoing treatment response for kidney or blood pressure problems. This test also measures the levels of electrolytes to check for the water and pH balance in the body
The kidneys play a vital role in removing waste, toxins, and extra water from your body. They are responsible for maintaining a healthy balance of water, salts, and minerals like calcium, sodium, potassium, and phosphorus. These minerals are also essential for controlling your blood pressure, making hormones for red blood cell production, promoting bone health, and controlling the body’s pH balance. Hence, keeping your kidneys healthy is essential to maintain your overall health.
A KFT with Electrolytes (Kidney Function Test with Electrolytes) helps with the early detection of kidney problems, such as kidney stones, kidney failure, or kidney infections. This early detection allows your doctor to plan the treatment timely and prevent any future complications. This test also helps in monitoring any known kidney problem, tracking its recovery process if you are already getting treated for the same, and determining if you need dose adjustments of certain medicines that you might be taking for other diseases. Your doctor may also advise this test if you have risk factors such as obesity, diabetes, excessive alcohol consumption, or a family history of kidney disease.
Usually, no special preparation is required for a KFT with electrolytes; eat and drink as per your daily routine. Test result ranges are approximate and may differ slightly between different labs depending on the methodology and laboratory guidelines. Talk to your doctor about your specific test results. Narrate your complete medical history to help them correlate your clinical and laboratory findings. The test results will help the doctor determine your medical condition, make recommendations for lifestyle modifications such as diet and exercise, decide whether or not medication will be required to manage your kidney health, and formulate your overall treatment plan.
What is KFT with Electrolytes (Kidney Function Test with Electrolytes) used for?
A KFT with Electrolytes (Kidney Function Test with Electrolytes) is done:
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As part of routine health checkups.
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To help detect any disease affecting the kidneys.
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To monitor the treatment response of kidney diseases.
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To check the water and electrolyte balance.
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To check the acid-base (pH) balance of your body.
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To monitor patients who are receiving diuretic therapy, intravenous fluids, or are on dialysis.
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To monitor kidney function in people with conditions like diabetes and high blood pressure (BP).
What does KFT with Electrolytes (Kidney Function Test with Electrolytes) measure?
Contains 8 testsA KFT with Electrolytes (Kidney Function Test with Electrolytes) determines the health of your kidneys. It evaluates various parameters such as creatinine, urea, and uric acid along with electrolytes (sodium, potassium, and chlorine). This test also helps diagnose possible kidney disorders, such as inflammation, infection, or functional damage in the kidneys.
Potassium
A Potassium test measures the levels of potassium in your body. Potassium is one of the key electrolytes that helps in the functioning of the kidneys, heart, nerves, and muscles. It also balances the effect of sodium and helps keep your blood pressure normal. The body absorbs the required amount of potassium from the dietary sources and eliminates the remaining quantity through urine. Potassium level is normally maintained by the hormone aldosterone. Aldosterone acts on the nephrons present in the kidneys and activates the sodium-potassium pump that helps the body reabsorb sodium and excrete potassium. This aids in maintaining a normal and steady potassium level in the blood.
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Uric Acid
Chloride
A Chloride test measures the amount of chloride in your body. Chloride is present in all body fluids and is found in the highest concentration in the blood and extracellular fluid (fluid present outside the cells). The body gets most of the chloride through dietary salt (sodium chloride or NaCl) and a small amount through other food items. The required amount of chloride is absorbed in the body and the excess amount is excreted by the kidneys through urine. When the chloride is combined with sodium it is mostly found in nature as salt. Chloride generally increases or decreases in direct relationship to sodium but may also change without any changes in sodium levels when there are problems with the body's pH. Usually, the normal blood chloride level remains steady with a slight fall after meals (because the stomach produces hydrochloric acid using chloride from the blood after we eat food).
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Sodium
A Sodium test is used to measure the amount of sodium in your body. Sodium is present in all body fluids and is found in the highest concentration in the extracellular fluid. The body absorbs the required amount of sodium through dietary salts and the remaining is eliminated through the kidneys. The body keeps your blood sodium within a normal and steady range by following three mechanisms:
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By producing hormones that control the elimination of sodium through urine, such as natriuretic peptides and aldosterone.
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By producing hormones that prevent water loss, such as antidiuretic hormone (ADH) or vasopressin.
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By controlling thirst (an increase in blood sodium level can make you thirsty and cause you to drink water, returning your sodium to normal).
These mechanisms regulate the amount of water and sodium in the body and control blood pressure by keeping the amount of water in check. When the level of sodium in the blood changes, the water content in your body changes. These changes can be associated with dehydration, edema, and change in blood pressure.
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Blood Urea
A Blood Urea test measures the level of urea in the blood. Urea is a byproduct of protein metabolism. Proteins you consume in your diet are digested and converted into amino acids, which are then utilized by the body. This metabolic process produces a toxic byproduct known as ammonia. Ammonia is then rapidly converted into urea by your liver. Urea is comparatively less toxic than ammonia and is transported to the kidneys via the blood. The kidneys then filter it out through the urine. This process continues and the body keeps producing and eliminating urea, maintaining its low and steady levels in the blood.
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BUN/Creatinine Ratio
Blood Urea Nitrogen
A Blood Urea Nitrogen test measures the levels of urea nitrogen in the blood. Blood urea is a waste product that is formed in the liver when you eat food and the protein is metabolized into amino acids. This process leads to the production of ammonia that is further converted into urea. Both ammonia and urea are nitrogenous compounds. Your liver releases urea into the blood which is then carried out to the kidneys. In the kidneys, urea is filtered from the blood and flushed out of the body via urine. This is a continuous process, so a small amount of urea nitrogen always remains in the blood.
In the case of a kidney or liver disease, there is a change in the amount of urea present in the blood. If your liver produces urea in an increased amount or if there is any problem in kidney functioning, there might be difficulty in filtering out the waste products from the blood, which can result in increased urea levels in the blood.
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Interpreting KFT with Electrolytes (Kidney Function Test with Electrolytes) results
Interpretations
Normal levels:
· Urea: 2.5-7.8 mmol/L
· BUN: 7 to 20 mg/dL
· Uric Acid:
Adult Female: 2.4 to 6.0 mg/dL
Adult Male: 3.4 to 7.0 mg/dL
Children: 3 to 4 mg/dL
· Creatinine:
Adult males: 0.6 to 1.2 mg/dL
Adult females: 0.5 to 1.1 mg/dL
· BUN/Creatinine Ratio:
12:1 to 20:1
Sodium (Na+)
Normal range: 135 to 145 mmol/L
Hyponatremia: Below 135 mmol/L
Hypernatremia: Above 145 mmol/L
Sodium concentration in the body is maintained within a narrow normal range which lies between 135 mmol/L and 145 mmol/L.
Hyponatremia or low blood sodium indicates that sodium concentration lies below the normal range.
Hypernatremia or high blood sodium indicates that sodium concentration lies above the normal range.
Potassium (K+)
Normal range: 3.5 to 5.0mmol/L (136.5 to 195μg/ml approx.)
Hypokalemia: Below 3.5mmol/L (Less than 136.5μg/ml approx.)
Hyperkalemia: Above 5.0mmol/L (Above 195μg/ml approx.)
Potassium concentration in the body is maintained within a narrow normal range between 3.5mmol/L and 5.0mmol/L.
Hypokalemia or low blood potassium indicates that potassium concentration lies below the normal range.
Hyperkalemia or high blood potassium indicates that potassium concentration lies above the normal range.
Chloride (Cl-)
Normal reference range:
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Adults: 98 to 106 mEq/L (milliequivalents per liter)
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Children: 90 to 110 mEq/L
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Newborn: 96 to 106 mEq/L
Higher than normal chloride level is called Hyperchloremia.
Lower than normal chloride level is called Hypochloremia.
Increased levels of each of these parameters can indicate a number of conditions and not necessarily health disorders. For example, increased creatinine levels can occur due to heavy exercise, consumption of cooked meat, or taking protein supplements apart from kidney diseases. Thus, these parameters are also considered while interpreting the tests. Further tests are performed to confirm any health disorders.