Blood urea nitrogen

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Blood urea nitrogen
Diagnostics

Urea
MeSH D001806
LOINC 6299-2, 59570-2, 12961-9, 12963-5, 12962-7

The liver produces urea in the urea cycle as a waste product of the digestion of protein. Normal human adult blood should contain between 7 to 21 mg of urea nitrogen per 100 ml (7–21 mg/dL) of blood. Individual laboratories may have different reference ranges, and this is because the procedure may vary.[1][2][dead link]

Contents

Interpretation [edit]

BUN is an indication of renal health. Normal ranges 8-20 mmol/L. If Glomerular Filtration Rate (GFR) and blood volume decrease (hypovolemia) then BUN will increase.Other factors responsible for its increment are fever, increased catabolism, high protein diet and gastrointestinal bleeding.

Reference ranges for blood tests, comparing urea (yellow at right) to other blood constituents.

Units [edit]

BUN (urea-N) is g/dL in the United States, Mexico, Italy, Austria, Germany. Elsewhere, the concentration of urea is reported as mmol/L, generally depending on the lab.

To convert from mg/dL of blood urea nitrogen to mmol/L of urea, multiply by 0.357 (each molecule of urea having 2 nitrogens, each of molar mass 14g/mol)

Urea [mmol/L] = BUN [mg/dL of nitrogen] x 10 [dL/L] / 14x2 [mg N/mmol urea]

convert BUN to urea in mg/dL by using following formula:

Urea [mg/dL]= BUN [mg/dL] * 2.14

(conversion factor derived by: MW of urea = 60, MW of urea nitrogen = 14x2 => 60/28 = 2.14)

factor = 1 for conversions in mmol (1 mole N2 = 2 moles N per mole of urea):

BUN [mmol/L]= urea [mmol/L]

See also [edit]

References [edit]

  1. ^ Last page of Deepak A. Rao; Le, Tao; Bhushan, Vikas (2007). First Aid for the USMLE Step 1 2008 (First Aid for the Usmle Step 1). McGraw-Hill Medical. ISBN 0-07-149868-0. 
  2. ^ Normal Reference Range Table from The University of Texas Southwestern Medical Center at Dallas. Used in Interactive Case Study Companion to PATHOLOGIC BASIS of DISEASE.

External links [edit]