Indications:
This assay allows to diagnose a dysfunction of the kidney filtration. The test is more reliable than that of urea.
Principle:
Creatinine is a product of degradation of creatinine, largely eliminated by the kidneys. Its serum concentration thus depends on the renal elimination capacity.
Technique:
Levy of 1 mL of blood on dry or heparin tube.
– Avoid hemolysis;
– Patient at rest.
Results:
Normal values:
– Man, 60 to 120 mmol / L;
– Woman, 50 to 110 mmol / L;
– Newborn: 60 to 90 mmol / L.
Down 30% of the glomerular filtration capacity does not affect creatinine.
In acute renal failure, the rise in creatinine is delayed.
The clearance may be low and normal serum creatinine; clearance is therefore a better review to monitor kidney failure.
In this case, a collection of 24-hour urine is necessary, carried out on antiseptics.
Cost:
B10.
Practical advice:
Creatinine decreases during pregnancy and increases when excessive consumption of meat, a rhabdomiolyse (muscle lysis) or after exertion.
Some medicines affect the serum creatinine:
– Oral contraceptives increase it;
– Anticonvulsants, NSAIDS the decrease.
Creatinine depends on muscle mass, age, weight: in this case one must help calculating the clearance through the following formula:
clearance in mL / min = (140-age) x weight / 0.8 x creatinine in mmol / L.
kidney failure is:
– Moderate to an upper clearance 30 mL / min;
– Severe, for a clearance of 15 to 30 mL / min;
– Requires dialysis, to a clearance between 10 and 15 and less than 10.
