Acute Kidney Failure Blood Test

What is Acute Kidney Failure?

Acute kidney failure, also known as acute kidney injury (AKI), is a sudden loss of kidney function that occurs within hours or days. It is caused by severe dehydration, traumatic injury, toxic medications, infections, or blockages that prevent the kidneys from filtering waste products from the blood. The Urea Nitrogen (BUN) test is the most important test for diagnosis because it detects rapid accumulation of waste products in the bloodstream.

RECOMMENDED TEST Urea Nitrogen (BUN)
What's included
Fast & easy, results by email & SMS
No extra fees paid at the lab
No need to visit a doctor
Private & confidential
No insurance needed
Results explained
Why Private MD Labs?
90-day money-back guarantee Lab order in minutes Save a trip to the doctor Low prices since 2005 Labs within 2 miles

What causes acute kidney failure?

Acute kidney failure is caused by conditions that suddenly damage the kidneys or reduce blood flow to them, preventing proper waste filtration. Common causes include severe dehydration from vomiting or diarrhea, traumatic injuries with significant blood loss, sepsis and serious infections, toxic medications like NSAIDs or certain antibiotics, and urinary tract blockages from kidney stones or enlarged prostate. Other triggers include heart failure, liver failure, severe burns, and allergic reactions that cause blood pressure to drop suddenly. The kidneys lose their ability to remove waste products and balance electrolytes within hours or days, making this a medical emergency requiring immediate treatment.

What is the best test for acute kidney failure?

The Urea Nitrogen (BUN) test is the most important test for acute kidney failure because it measures the amount of urea nitrogen waste product in your blood that healthy kidneys normally filter out. When your kidneys suddenly stop working properly, BUN levels rise rapidly, providing clear evidence of kidney dysfunction. The creatinine blood test is equally essential and is often ordered alongside BUN, as creatinine is another waste product that accumulates when kidney filtration fails. Together, these tests create a BUN-to-creatinine ratio that helps doctors determine the severity and type of kidney failure. Additional tests may include electrolyte panels to check potassium and sodium levels, and urinalysis to examine protein and blood in the urine.

When should I get tested for acute kidney failure?

You should get tested if you suddenly produce very little urine or stop urinating altogether, experience severe swelling in your legs, ankles, or feet, feel extremely fatigued or confused, have persistent nausea and vomiting, or notice shortness of breath. Get immediate testing if you have chest pain or pressure, as fluid can build up around the heart. Anyone hospitalized for serious injury, major surgery, sepsis, or severe dehydration should be monitored with regular kidney function tests. If you take medications known to affect the kidneys, such as NSAIDs, certain antibiotics, or blood pressure medications, and develop any of these symptoms, testing is critical for early detection.

What are the symptoms of acute kidney failure?
Acute kidney failure symptoms develop rapidly and include producing very little urine or no urine at all, which is often the first noticeable sign. You might experience severe swelling in your legs, ankles, feet, or face as fluid accumulates in your body. Other symptoms include extreme fatigue and weakness, confusion or difficulty concentrating, persistent nausea and vomiting, chest pain or pressure from fluid around the heart, shortness of breath from fluid in the lungs, and irregular heartbeat. Some people develop seizures in severe cases due to electrolyte imbalances. Unlike chronic kidney disease which develops slowly, these symptoms appear suddenly over hours or days, signaling a medical emergency that requires immediate attention.
Who is at risk for acute kidney failure?
People at highest risk include those hospitalized in intensive care units, especially after major surgery or serious illness. Individuals with existing chronic kidney disease, diabetes, or high blood pressure have increased vulnerability. Older adults over 65 are at greater risk due to age-related kidney function decline. Those taking medications that affect the kidneys, including NSAIDs like ibuprofen, certain antibiotics, blood pressure medications, and chemotherapy drugs, face elevated risk. People with heart disease, liver disease, or peripheral artery disease are more susceptible. Anyone experiencing severe dehydration from illness, heat exposure, or inadequate fluid intake is at risk, as are trauma victims with significant blood loss or severe infections leading to sepsis.
What happens if acute kidney failure is left untreated?
Untreated acute kidney failure can be life-threatening as waste products and excess fluid accumulate rapidly in your body. Potassium levels can rise dangerously high, causing irregular heartbeat, heart attack, or sudden cardiac arrest. Fluid buildup in the lungs leads to severe breathing difficulty and respiratory failure. Acid accumulates in the blood, creating metabolic acidosis that affects your entire body. You may develop uremia, where toxic waste products cause confusion, seizures, coma, and death. Permanent kidney damage can occur if treatment is delayed, potentially requiring lifelong dialysis or kidney transplant. However, with prompt medical intervention, acute kidney failure is often reversible, and many people recover full or partial kidney function within weeks to months.
Can acute kidney failure be diagnosed with a blood test?
Yes, acute kidney failure is primarily diagnosed with blood tests that measure waste products your kidneys should be filtering out. The BUN test and creatinine test are the two main blood tests used, showing rapid elevation when kidneys suddenly stop working properly. A comprehensive metabolic panel checks electrolytes like potassium and sodium, which become dangerously imbalanced during kidney failure. Blood tests can also measure your glomerular filtration rate (GFR), which indicates how well your kidneys are filtering blood. Additional tests include complete blood count to check for anemia and blood pH to detect acid buildup. While urine tests provide supporting information, blood tests give the fastest and most reliable diagnosis of acute kidney failure.
How is acute kidney failure treated?
Treatment focuses on addressing the underlying cause and supporting kidney function while they recover. If medications caused the problem, they are immediately stopped and replaced with safer alternatives. Severe dehydration is treated with intravenous fluids, while fluid overload requires diuretics to remove excess water. Infections are treated with appropriate antibiotics, and blockages may require catheterization or surgery. Dialysis is used when kidney function is severely compromised, filtering waste products and excess fluid from your blood until your kidneys recover. Electrolyte imbalances are corrected through IV medications and dietary changes. Most people require hospitalization for close monitoring of kidney function, fluid balance, and electrolyte levels. With proper treatment, many patients recover kidney function within days to weeks.
How can I prevent acute kidney failure?
Prevention focuses on protecting your kidneys from sudden injury or stress. Stay well-hydrated by drinking plenty of water, especially during illness, exercise, or hot weather. Use over-the-counter pain medications like ibuprofen and naproxen cautiously and only as directed, as they can harm kidneys when overused. Manage chronic conditions like diabetes and high blood pressure carefully, as these weaken kidneys over time. Follow medication instructions precisely, especially for antibiotics, blood pressure drugs, and any medications that affect kidney function. Seek prompt treatment for infections before they become severe or spread to the kidneys. If you have kidney disease risk factors, work with your doctor for regular monitoring. During hospitalization or surgery, ensure your medical team monitors your kidney function closely, especially if you receive contrast dye for imaging tests.
What can I do at home to support kidney recovery from acute kidney failure?
While acute kidney failure requires medical treatment, you can support recovery at home after initial stabilization by following your doctor's fluid intake recommendations carefully, as you may need to limit or increase fluids depending on your situation. Eat a kidney-friendly diet low in sodium, potassium, and phosphorus, avoiding processed foods, bananas, oranges, tomatoes, and dairy products until your doctor clears you. Rest adequately to allow your body to heal, avoiding strenuous physical activity until cleared by your healthcare provider. Monitor your urine output daily and report any sudden changes to your doctor. Take all prescribed medications exactly as directed and attend all follow-up appointments for blood tests to track kidney function recovery. Avoid alcohol and quit smoking, as both stress recovering kidneys. Keep your blood pressure and blood sugar well-controlled if you have hypertension or diabetes.
How’s this work?
Getting your blood test with us is easy, private & backed by the power of science.

Long story short:
  1. In the test options, use the filters or search box to narrow your choices and find the test you want.
  2. If you need a hand navigating through options, text our super friendly support team at 754-799-7833, and we'll provide tailored suggestions to help you find the ideal test.
  3. Once your order is placed, we’ll create your doctor’s lab order remotely, without any need for you to make a trip to a doctor in person or to talk to the doctor. Expect to receive your doctor’s lab order right in your inbox. It will also be in your patient portal if you need to find it later. We’ll also include instructions regarding fasting and other requirements for your test. Your patient portal will be auto-created hassle-free during checkout.
  4. If this is your first time ordering, you'll be prompted to create a password for instant login access to your patient portal. It's a quick way to conveniently access your orders and results whenever you want.
  5. When you’re ready, visit one of our 4,000 locations. Just bring your ID – no printing or faxing of your lab order is needed, as your order and details will already be in the lab system.
  6. Note that most lab locations don’t accept walk-ins, so it’s best to book an appointment in advance. Don’t worry – we’ll provide detailed instructions along the way.
  7. You’ll get your results via email & SMS and dive into understanding your body better. Yup, that easy!
  8. If you have any questions, please text us at 754-799-7833 or email support@privatemdlabs.com and we'll gladly help you.
How do I know which test to get?
In the test options, find the test you want. If you’re not sure which test to get, we can lend a hand in finding the right option.

Just text or call us at 754-799-7833, email us at support@privatemdlabs.com, and we'll gladly help you. We've got your back and reply quickly.
Is it possible to make changes to my lab order if I made a mistake with the name, date of birth, or any other details?
Absolutely! We totally understand that errors can happen. No worries, we're here to help you.

Just reach out to us via text at 754-799-7833 or shoot us an email at support@privatemdlabs.com. Remember to include your order number and let us know the correct information you’d like to update. Our awesome team will jump right in and make sure everything is sorted out and accurate for you.

There are no changes necessary if your address is wrong on the requisition though. We don’t mail anything out.

Our lab requires an address to be listed to generate an order.
Do you accept health insurance?
Only HSA & FSA is accepted.

Our services are strictly self-pay and cannot be submitted to your health insurance provider except for Health Savings Accounts or Flexible Savings Accounts.

This policy applies to all insurance companies, including federal health insurance programs like Medicare.

If you have any questions, please text us at 754-799-7833 or email support@privatemdlabs.com.
Can I cancel my order?
Yes.

We get it – sometimes your needs change.

As long as your samples haven’t been collected yet, we’re happy to help you cancel your order.

If you have any further questions, please text us at 754-799-7833 or email support@privatemdlabs.com.

You can read more about our cancellation policy here.
How can I find a lab location near me?
During the ordering process, you’ll be able to select a specific lab near you, with no strings attached! You can switch it up later easily and visit any of our authorized locations as long as it’s the same lab company you selected your test for (Quest Diagnostics or Labcorp).

Before you proceed with your order, feel free to browse through all our lab locations here. This will give you the peace of mind of knowing that there's a lab nearby your home, office or your favorite gym.

If you have any questions, please text us at 754-799-7833 or email support@privatemdlabs.com and we'll gladly help you.
Here’s how easy it is to get blood work done on your terms
Choose a checkup
Order your test Save a trip to the doctor. Your results will come with clear, friendly explanations. Takes 2 minutes
Book a lab
Book an appointment Visit any of our 4,000 nearby lab locations to have your samples collected. Book or walk-in
Choose a checkup
Get results Receive a clear, easy-to-digest health report by email & SMS within a few business days. Get answers, fast

Here’s why 1,000,000+ customers chose us for affordable hassle-free private blood testing.

You get clinical lab reports & simplified health insights.
Save time & gas, go straight to the lab. Our doctors cover the rest.
Results start landing the next day after your lab visit.*
We don’t sell or share your data. Your time & privacy matter.
US-licensed doctors have your back if things get unclear.
No hidden fees, nice discounts for regular checkups.
Save a trip to the doctor, go directly to the lab
Instant orders, results often overnight*
Results explained in simple language
Reviewed by US licensed doctors
Fast & confidential, we never sell or share your data
No insurance needed, transparent pricing
Demo results
Testosterone 375 ng/dL
Demo results
Normal Optimal 400 - 1000 High
375 ng/dL

What this means

Your testosterone levels are slightly below the optimal range. While this is not necessarily cause for concern, it may contribute to occasional fatigue, reduced motivation, or lower muscle mass over time.

* Regular blood test results (e.g., CBC) typically start arriving the next business day after sample collection. More complex tests, such as hormone panels, may take up to 10–15 business days due to their complexity.

Us vs. Them

Not overhyped or overpriced. Just comprehensive blood testing made simple and for everyone.

* Regular blood test results (e.g., CBC) typically start arriving the next business day after sample collection. More complex tests, such as hormone panels, may take up to 10–15 business days due to their complexity.

1,000,000+ blood tests later, here's what our customers say

Google reviews 505 reviews Next
Urea Nitrogen (BUN)
What's included
Fast & easy, results by email & SMS
No need to visit a doctor
Private & confidential
No insurance needed
Results explained
No extra fees paid at the lab

Sample results

Sample image
For you & your coach Health insights Written in human language, backed by science.
Sample image
For you & your doc Classic lab report A familiar and comprehensive lab report.

Ask Me Anything

Your 24/7 Personal Lab Guide

Quick questions:

Which test is right for my symptoms?
What could be causing this?
When should I get tested?
A

Hi, I'm here to make labs simple, clear, and stress-free. Not sure where to start? That's okay. Tell me what's going on and I'll guide you from there.

I can help you:

  • choose the right test
  • prepare for your lab visit
  • take the next step with confidence and more
Just now
A
Not finding what you need? Text 754-799-7833, we've got you.
We provide helpful guidance, not medical diagnoses. For medical decisions, consult a licensed professional.