Blood Urea Nitrogen Flashcards
Reference method:
isotope dilution mass spectrometry
Routine method:
Indirect/coupled enzymatic method
Measurement principle:
Indirect/coupled enzymatic method
Reagents
Reagent 1:
Reagent 2:
Standard
Reagent 1: 2 enzymes (urease and glutamate dehydrogenase) a - ketoglutarate Buffer Reagent 2: NADH
1st step involves the catalysis of urea by _____, forming _____ and _______ molecules
urease
ammonia
carbon dioxide
Urease Urea -----------> NH3 + CO2
The final step involves the reaction of ____ with ____ and ________, which, jn the presence of _________, leads to catalysis and formation of ______, _____, and ______
ammonia NADH a-ketoglutarate glutamate dehydrogenase L-glutamate, NAD, H20
______ will detect the decrease in the NADH molecules due to successive catalytic reaction
Spectrophotometer
Decrease in NADH molecule leads to _______ of light by the sample
decrease absorbance
Therefore, decrease in absorbance means _______present in the sample.
increase of urea
Normal Values Urea BUN Newborn <6 mons: > 7 mons:
Adult
<65 yrs:
> 65 yrs:
UREA BUN
Newborn
<6 mons: <42 <19.6
> 7 mons: <48 <22.4
Adult
<65 yrs: <50 <23.3
> 65 yrs: <71 <33.1
Assay procedure:
Wavelength:
Temperature:
Measurement:
Wavelength: 340 nm
Temperature: 37C
Measurement:: against water
Mix reagent 1 and reagent 2 with a ration of ____
5:1
Mix well, then read off absorbance (A1) after _____ at ___. Read off absorbance once again after ______ (A2)
60 seconds
37C
2 mins
Computation:
SA sample = A sample (1st) - A sample (2nd)
SA Standard = A standard (1st) - A standard (2nd)
50 x SA sample/SA standard