Back to BasicsAbnormal Basic Metabolic Panel Findings Implications for NursingBertschi, Lydia A. DNP, APRN, ACNP-BCAuthor Information Lydia A. Bertschi is an assistant professor at Illinois Wesleyan University School of Nursing in Bloomington, IL. Contact author: email@example.com. The author has disclosed no potential conflicts of interest, financial or otherwise. AJN, American Journal of Nursing: June 2020 - Volume 120 - Issue 6 - p 58-66 doi: 10.1097/01.NAJ.0000668764.99872.89 Buy Metrics AbstractIn Brief In this article, the second in a new series designed to improve acute care nurses' understanding of laboratory abnormalities, the author continues her discussion of important values in the basic metabolic panel (see Back to Basics, January, for a discussion of sodium and fluid balance). Here she addresses the electrolytes potassium and chloride as well as blood urea nitrogen and creatinine, four values that are best considered together because they both reflect and impact renal function as well as acid–base homeostasis. Important etiology, clinical manifestations, and treatment concerns are also presented. Three case studies are used to integrate select laboratory diagnostic tests with history and physical examination findings, allowing nurses to develop a thorough, focused plan of care for electrolyte abnormalities and kidney disorders commonly encountered in the medical–surgical setting. In this article in a new series designed to improve acute care nurses' understanding of laboratory abnormalities, the author discusses important values in the basic metabolic panel, including the electrolytes potassium and chloride as well as blood urea nitrogen and creatinine. Copyright © 2020 Wolters Kluwer Health, Inc. All rights reserved.