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Urine Specific Gravity

Renal
Normal range
1.005–1.030
☎ When to call

Rarely alone — escalate the oliguria, the I&O gap, or the weight trend it confirms.

What you do
  • Quick volume-status clue at the bedside — pair with I&O and daily weight
  • Fixed at ~1.010 regardless of intake suggests renal concentrating failure
Causes of HIGH urine specific gravity
Dehydration (concentrated)SIADHContrast media (false high)
Causes of LOW urine specific gravity
OverhydrationDiabetes insipidusRenal inability to concentrate
Source: Pagana, Mosby's Manual of Diagnostic and Laboratory Tests, 7th ed.Reference only — verify against your facility's policy.

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