What might a healthcare provider monitor to assess for the potential impact of nephrotoxic drugs?

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Monitoring serum creatinine and blood urea nitrogen (BUN) levels is crucial when assessing the potential impact of nephrotoxic drugs. These two parameters are key indicators of renal function. An increase in serum creatinine typically signifies that the kidneys are not filtering waste effectively, which can occur when they are damaged or stressed by nephrotoxic agents. Similarly, elevated BUN levels can indicate that the kidneys are being adversely affected, as the BUN reflects the balance between urea production and its elimination by the kidneys.

When patients are exposed to nephrotoxic drugs, it is essential to track these levels closely to identify any early signs of kidney impairment and adjust treatment plans accordingly. Keeping a watch on these laboratory values helps healthcare providers make informed decisions about the continuation or modification of the nephrotoxic therapy and ensures timely intervention to prevent further renal damage.

The other monitoring options, while relevant to various aspects of patient care, do not specifically target kidney function. For instance, glucose and electrolytes are important in managing other metabolic conditions, blood pressure and heart rate are part of cardiovascular monitoring, and prothrombin time along with INR pertains to coagulation status. Therefore, monitoring serum creatinine and BUN levels is the most direct

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