Basic Metabolic Panel (BMP) Analysis
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Questions and Answers

A patient presents with muscle weakness, fatigue, and cardiac arrhythmias. The physician suspects an electrolyte imbalance. Which of the following Basic Metabolic Panel (BMP) results would be most consistent with these symptoms?

  • Sodium (Na) of 130 mEq/L, Potassium (K) of 6.2 mEq/L (correct)
  • Sodium (Na) of 140 mEq/L, Potassium (K) of 4.5 mEq/L
  • Sodium (Na) of 148 mEq/L, Potassium (K) of 3.8 mEq/L
  • Sodium (Na) of 138 mEq/L, Potassium (K) of 3.0 mEq/L

A patient is prescribed a medication that interferes with the kidneys' ability to excrete potassium. Which of the following BMP results would be most expected after several weeks of therapy?

  • Decreased BUN (Blood Urea Nitrogen)
  • Hyponatremia
  • Increased creatinine
  • Hyperkalemia (correct)

A patient's BMP reveals a significantly elevated calcium level. Which of the following reciprocal changes regarding phosphate levels would be expected?

  • No change in phosphate level
  • Normal phosphate level
  • Decreased phosphate level (correct)
  • Elevated phosphate level

A patient is diagnosed with a condition causing chronic hyperventilation. How would you expect this to manifest in their Basic Metabolic Panel results, focusing on electrolyte balance?

<p>Decreased serum bicarbonate (HCO3-) (A)</p> Signup and view all the answers

Which of the following is the most important reason for including creatinine in a Basic Metabolic Panel?

<p>Evaluate kidney function (B)</p> Signup and view all the answers

A patient's serum creatinine doubles from 0.6 mg/dL to 1.2 mg/dL. What does this change likely indicate?

<p>A 50% decrease in Glomerular Filtration Rate (GFR). (C)</p> Signup and view all the answers

Which of the following conditions would most likely lead to an increased glucose level in a patient's Basic Metabolic Panel (BMP)?

<p>Cushing’s syndrome (B)</p> Signup and view all the answers

A patient's Blood Urea Nitrogen (BUN) level is 35 mg/dL. Which of the following could this elevated level indicate?

<p>Impaired kidney function. (B)</p> Signup and view all the answers

A physician orders a Basic Metabolic Panel (BMP) for a patient. Which of the following combinations of tests would be included in this panel?

<p>Sodium, potassium, chloride, bicarbonate, BUN, creatinine, glucose. (B)</p> Signup and view all the answers

How is creatinine produced in the body, and why is it useful for estimating Glomerular Filtration Rate (GFR)?

<p>It is a byproduct of skeletal muscle activity and is useful because its production rate is relatively stable. (D)</p> Signup and view all the answers

A patient's glucose level is 130 mg/dL. Which additional information is most important for interpreting this result?

<p>The time of the patient's last meal. (A)</p> Signup and view all the answers

Which of the following best describes the relationship between liver function, kidney function, and Blood Urea Nitrogen (BUN) levels?

<p>BUN is formed in the liver and excreted by the kidneys; levels reflect the health of both organs. (C)</p> Signup and view all the answers

A Comprehensive Metabolic Panel (CMP) includes all the tests in a Basic Metabolic Panel (BMP) plus which additional tests related to organ function?

<p>Liver function tests. (A)</p> Signup and view all the answers

Flashcards

What is a Basic Metabolic Panel (BMP)?

A group of 8 tests that give information about your body's metabolism.

What is hypernatremia?

Sodium levels are too high in the blood.

What is hyponatremia?

Sodium levels are too low in the blood.

What is hyperkalemia?

Potassium levels are too high in the blood.

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What is the general relationship between calcium and phosphate?

Calcium and phosphate often have an inverse relationship; when calcium levels increase, phosphate levels decrease, and vice versa.

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Basic Metabolic Panel (BMP)

A common blood test panel used for screening and monitoring kidney function, fluid status, electrolytes, and glucose levels. It typically includes tests for sodium, potassium, chloride, bicarbonate, BUN, creatinine, and glucose, and often calcium.

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Creatinine

A byproduct of skeletal muscle activity primarily excreted by the kidneys. Its levels are directly proportional to renal excretory function, making it a useful marker for estimating GFR. Doubling suggests a 50% reduction in GFR.

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Blood Urea Nitrogen (BUN)

Urea formed in the liver as a metabolic byproduct of protein breakdown, excreted by the kidneys. Its levels reflect the metabolic health of the liver and excretory health of the kidneys.

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Glucose

Regulated by insulin and glucagon, reflecting the body's sugar metabolism. Evaluation must consider meal times, and follow-up testing includes HbA1c.

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Bicarbonate

Metabolite that helps maintain the body's pH balance.

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Sodium

The primary extracellular cation, crucial for nerve and muscle function.

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Potassium

The primary intracellular cation, vital for nerve and muscle excitability.

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Chloride

A major anion in extracellular fluid, important for maintaining fluid balance and osmotic pressure.

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