Renal Function Panel
Evaluates kidney function and filtration efficiency using blood-based markers
Table of contents
Basic data
The Renal Function Panel is a group of blood tests used to assess how well your kidneys are filtering waste, balancing electrolytes, and maintaining internal homeostasis. It typically includes measurements of creatinine, blood urea nitrogen (BUN), estimated glomerular filtration rate (eGFR), and electrolytes such as sodium and potassium.
This test is important for detecting early signs of kidney impairment, monitoring chronic kidney disease (CKD), and evaluating the impact of medications or systemic conditions on renal performance.
Category: Lab blood panel
Level: Intermediate
Usefulness: High
Level
Intermediate
Usefulness
High
Early detection of kidney disease
Elevated creatinine or BUN and low eGFR can indicate early-stage kidney dysfunction — often before physical symptoms appear.
Evaluates hydration, filtration, and waste removal
Assesses how effectively your kidneys eliminate nitrogenous waste and maintain fluid-electrolyte balance.
Supports medication and protocol adjustments
Essential for monitoring kidney-sensitive medications or high-protein diets that may stress renal clearance.
How it works
Sample collection
A small blood sample is taken from a vein, typically after fasting. No urine is required for this test.
Laboratory analysis
The lab measures creatinine, BUN, eGFR, and electrolytes. Results are interpreted in the context of age, sex, and hydration status.
Measures
Creatinine
Waste product of muscle metabolism. Elevated levels indicate reduced filtration capacity.
Blood Urea Nitrogen (BUN)
Indicates how efficiently the kidneys eliminate nitrogen. High levels may reflect dysfunction or dehydration.
Estimated Glomerular Filtration Rate (eGFR)
Key measure of kidney function — estimates how much blood the kidneys filter per minute, adjusted for age and sex.
Electrolytes (sodium, potassium, chloride)
Critical for fluid balance, blood pressure regulation, and nerve/muscle function.
BUN/Creatinine ratio
Helps differentiate between acute and chronic kidney conditions or identify causes like dehydration.
Reliability
Repeatability
Excellent consistency when performed under standardized conditions. Slight variation may occur due to hydration or recent protein intake.
Sensitivity to conditions
Results can be temporarily influenced by exercise, dehydration, or certain medications (e.g. NSAIDs, diuretics).
Limitations
Cannot determine structural abnormalities
Blood tests show functional changes but not anatomical issues — imaging (e.g. ultrasound) may be needed.
Affected by muscle mass and hydration
Creatinine levels may be misleading in very muscular or underweight individuals; eGFR has limitations in these cases.
Frequency
Suggested cadence
Annually for most adults; every 3–6 months for individuals with diabetes, hypertension, or known kidney disease.
Cost
Typical costs
Typically $20–60 USD or 80–250 PLN, depending on whether bundled with a metabolic or general health panel.
Availability
Where available
Available in all diagnostic laboratories and medical clinics. May require a short fasting period for best accuracy.
Preparation
How to prepare
Fasting for 8–12 hours is sometimes recommended. Avoid heavy exercise and high-protein meals the day before testing.
Interpretation
Normal values
Indicate proper kidney function and effective toxin elimination. An eGFR above 90 is considered normal for healthy individuals.
Abnormal results
Elevated creatinine or BUN levels and reduced eGFR may suggest early kidney impairment, dehydration, or a systemic condition.
Creatine supplementation
Taking creatine supplements can temporarily increase serum creatinine levels, which does not necessarily reflect impaired kidney function. In such cases, results should be interpreted in the context of lifestyle and current supplementation.
Alternatives
Cystatin C
An alternative marker for kidney function, less influenced by muscle mass — sometimes used to validate eGFR findings.
24-hour creatinine clearance
A more detailed measure of renal function, though less convenient than single-sample blood tests.
FAQ
Do I need to fast before a renal panel?
Fasting isn't always required but may improve accuracy. Ask your lab or provider for specific instructions.
Is one abnormal value a cause for concern?
Not necessarily. Single outliers may reflect temporary factors like dehydration or exercise. Retesting may be advised.