An 80-year-old woman was admitted with a diagnosis of hypertension, congestive heart failure, anemia, possible diabetes and

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Question:

An 80-year-old woman was admitted with a diagnosis of hypertension, congestive heart failure, anemia, possible diabetes and chronic renal failure. She was treated with diuretics and IV fluids and released 4 days later. Her lab results are shown below (2/11 and 2/15).

Five months later, she was re-admitted for treatment of repeated bouts of dyspnea. She was placed on a special diet and drugs to control her hypertension and was discharged. It was felt that she had not been taking her medication as prescribed and she was counseled regarding the importance of regular doses.

Test	2/11	2/15	7/26	7/28
BUN, mg/dL	58	*	*	61.0
Creatinine, mg/dL	6.2	6.2	6.4	6.0
Uric Acid	10.0	*	*	9.2
BUN/Creatinine	#	*	*	#
Glucose	86	80	113	*

* means the test was not done

# means you need to calculate the number

1..Note that this patient’s admitting diagnosis is “possible diabetes.” If this patient had truly been a diabetic with an elevated blood glucose and positive ketone, what effect would this have had on the measured values for creatinine? Explain.