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Kidney Function

BUN-to-Creatinine Ratio

Normal range 10–20 ratio. Specimen: Serum (calculated).

Also known as: BUN/Cr ratio.

10–20 ratioReference range

Reference range

Conventionalratio
1020
SpecimenSerum (calculated)
Conventional range10–20 ratio
SI range10–20 ratio
PanelKidney Function

What is the normal range for BUN-to-Creatinine Ratio?

The standard teaching reference range for BUN-to-Creatinine Ratio is 10–20 ratio. This value is measured in serum (calculated).

Source: Adult reference values compiled from Pagana & Pagana, Mosby's Diagnostic and Laboratory Test Reference, and Fischbach & Dunning, A Manual of Laboratory and Diagnostic Tests. Reference ranges vary by laboratory, method, age, sex, and population — always use the range printed on the actual result.

Above the range

Common causes of a high BUN-to-Creatinine Ratio

  • Dehydration / prerenal azotemia
  • GI bleeding
  • High protein intake

Below the range

Common causes of a low BUN-to-Creatinine Ratio

  • Intrinsic renal disease
  • Low protein intake
  • Liver disease

At the bedside

Nursing considerations

  • A ratio > 20:1 suggests a prerenal cause such as volume depletion.

Study aid

Your notes on BUN-to-Creatinine Ratio

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