00:01
Now here's another
question for you.
00:03
Is there any other
body system at risk
when you're in
protein is elevated?
Okay, cool.
00:09
If I was looking at this
and taking a test question
and this was in the stem,
I'd be thinking,
okay urine protein is elevated,
that means an abnormal value,
is protein supposed
to be in urine?
No only in small amounts,
so that tells me
what is going on
that I have that
protein in my urine?
The answer is
yes.
00:32
Higher amounts of protein in your
urine, proteinuria,
Albuminuria,
are associated with an increased
risk of cardiovascular disease.
00:42
Awesome.
00:43
So if it's not enough to tell you
that your kidneys are at risk,
also we know that patients that
have protein in their urine
have a higher risk of
cardiovascular disease.
00:53
So keep in mind,
this is an indicator.
00:56
It's an early screening
tool we can use
to know that we're going to watch
this patient for cardiovascular risk,
we're going to monitor their
blood pressure closely.
01:05
We're going to make sure we keep it
as low as possible in a safe range.
01:10
We're going to encourage them
about their diet, their activity,
all the things that make
for a healthy lifestyle.
01:16
Now, let's look at the normal
ranges for a 24-hour test.
01:19
Normal value is less than
150 milligrams in 24 hours.
01:24
Remember what it takes to
do a 24-hour test though.
01:27
Abnormal is going to be
pretty easy to remember,
greater than a 150 in 24 hours.
01:33
This would tell us something is
not going right with your kidneys.
01:37
We're going to need
to follow that up.
01:39
Now if talking about over a
day, a protein in your urine,
you've got mild, moderate,
or severe disease.
01:46
So mild would be less than
half a gram moderate 1/2
right up to 4 grams and then
severe is greater than 4.
01:55
Hey, let's talk
about these numbers.
01:57
If I had this done
and my protein came back at
4, I wouldn't say like
I just have moderate disease.
02:05
Now it's all a spectrum.
02:07
We've divided them for
you just as a reference,
but when I'm getting
up from mild,
anytime I'm moving
towards moderate.
02:14
I want to try and
slow that down.
02:16
If I'm moderate and I'm
moving towards severe,
I want to do everything
I can to help my patient
slow down that
progression right?
I want them to avoid
that last category
as long as possible.
02:29
So while these numbers are a
reference, remember,
these are humans.
02:34
These are bodies that
were talking about
and we just want to help them
stay as healthy as possible.