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Living Kidney Donor Annual Physical Examination.
Have a copy of the donation records sent to the primary care physician. Discuss the potential risks, complications and issues at the next appointment. Not all physicians are savvy in terms of single-kidneyed persons, especially living donors. It is possible the living donor will have more extensive knowledge.
Follow-up lab tests should include:
If a urine sample contains more than 30 milligrams of albumin for each gram of creatinine (30 mg/g), ask for a more detailed test. If the laboratory test exceeds 30 mg/g, another UACR test should be done 1 to 2 weeks later (221).
According to the National Institutes of Health, a normal urine protein is < 80 mg per 24 hours.
Normal Blood Creatinine (222):
Men: 0.6-1.2 milligrams per deciliter (mg/dL)
or 71-106 micromoles per liter (mcmol/L)
Women: 0.4-1.0 mg/dL or 36-90 mcmol/L
Creatinine Clearance is determined by a 24-hour urine collection.
Men (younger than 40 years): 107-139
milliliters per minute (mL/min) or 1.8-2.3 milliliters per second (mL/sec)
Women (younger than 40 years): 87-107 mL/min or 1.5-1.8 mL/sec
Creatinine clearance values normally decrease with age, 6.5 mL/min every 10 years past the age of 20 (222)
BUN/Blood Urea Nitrogen to Creatinine ratio: 10:1 to 20:1
If the 'estimated' GFR is below 60, request a true measured GFR through a 24-hour urine collection and concurrent blood draw for creatinine. A GFR below 60 is considered Stage 3 Chronic Kidney Disease.