A 50-year-old male patient is seen in the emergency room for treatment of pneumonia. He has long standing type 2 diabetes mellitus. His urinalysis shows a specific gravity for urine of 1.095 (normal range 1.002 – 1.030). A metabolic panel result shows his BUN is 53 mg/dL (normal range 7 – 20 mg/dL) and his serum creatinine is 2.8 mg/dL (normal range 0.50 – 1.50 mg/dL). A blood urea nitrogen (BUN) test measures the amount of nitrogen in your blood that comes from the nitrogenous waste product the kidneys could not filter. A BUN test is done to see how well your kidneys are working. A creatinine blood test measures the amount of creatinine in your blood, an indication of how well the kidneys are working.
Answer the following questions about this patient:
1. What does the specific gravity of the urine of this patient tell us about the urine of this patient with respect to water?
2. What can be said about the hydration status of the patient?
3. What can be said about the kidney function based on the laboratory data for this patient?
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