BUN Flashcards

1
Q

is the principle waste product of protein catabolism.

A

Urea

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

It is synthesized in the liver from __________ which is produced as a result of the deamination of amino acids.

A

ammonia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

It is synthesized in the liver from ammonia which is produced as a result of the _____________________.

A

deamination of amino acids

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Normally, urea nitrogen in the blood comprises only about _______ of the non-protein nitrogen.

A

45%

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

The importance of urca nitrogen detenni-nation is its value as an indicator of ________ and ________ functions.

A

liver and kidney

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Decreases in Blood Urea Nitrogen (BUN) are seen with

A

nephritis
acute liver destruction
amyloidosis
pregnancy.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Increases in BUN are encountered with

A

acute and chronic nephritis
intestinal and urinary obstruction
uremia
metallic poisoning
pneumonia
Addison’s Disease
peritonitis
surgical shock
cardiac failure.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

The Stanbio BUN procedure is a modification of the method described by

A

Sampson

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

is catalytically converted to ammonium carbonate by the use of urcase.

A

Urea

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Urea is catalytically converted to ammonium carbonate by the use of ____

A

urease

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

The reaction rate is dependent upon the concentration of the influence of _________________

A

glutamic dehydrogenase

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

can be measured by the rate of conversion of NADH to NAD by the change of absorbancy at _______nm.

A

340 nm

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Two enzyme in urea

A

Urease
Glutamic dehydrogenase

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

BUN Buffer

A

Tris
2-oxoglutarate
Monosodium salt
Urease
Glutamic dehydrogenase

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

BUN ENZYME COMPOSITION

A

Disodium salt

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Reagent preparation: Before use allow to stand for at least ____ minutes at room tempsrature (15-25°C)

A

30 minutes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Reagent preparation: Before use allow to stand for at least 30 minutes at _____________

A

room tempsrature (15-25°C)

18
Q

Reagent Storage and Stability: when properly stered at

A

2-8C

19
Q

Reagent Storage and Stability: stable for 4 weeks at

A

2-8°C

20
Q

Reagent Storage and Stability: 5 days

A

RT (15-25C)

21
Q

Preferred specimen of choice

A

Non-hemolyzed serum

22
Q

Anticoagulant to avoid

A

Ammonium
Fluoride salt

23
Q

serum: stable for up to 24 hours at

A

room temperature (15-25°C).

24
Q

Serum: several days refrigerated at

A

2-8°C

25
Q

Serum: at least 2-3 months when

A

frozen
(-20°C).

26
Q

No interference

A

Bilirubin (40mg/dl)
Hemoglobin (200mg/dl)
Triglycerides (2000mg/dl)

27
Q

Working reagent (ml/ul)

A

1.0ml (1000ul)

28
Q

Warm at

A

37C for 3 mins

29
Q

Add ________ serum to unknown cuvette and mix

A

0.01ml (10 ul)

30
Q

After exactly _________ read und record absorbance

A

30 seconds

31
Q

After exactly 30 seconds read und record absorbance of

A

A1

32
Q

Al exactly______ seconds after reacing (A,), read and record absorbance

A

60 sec

33
Q

Al exactly 60 seconds after reacing (A,), read and record absorbance

A

A2

34
Q

Calculate change in absorbance

A

A1-A2 = Au

35
Q

Add _______ standard to control cuvette

A

0.01ml (10ul)

36
Q

Serum computations

A

Au/A(s/c) X 30

37
Q

Expected value: bun

A

8-23 mg/dl

38
Q

Expected value: urea

A

17-49 mg/dl

39
Q

Urea: mg/dl =

A

bun x 2.14

40
Q

Urea : mmol/L =

A

Urea (mg/dl) x 0.167

41
Q

Principle of BUN

A

Protein —> ammonia —> urea (non protein nitrogen)

Urea—> h2o —> (urease) 2NHy+ 2HO3

2- oxoglutarate + NHy+ Disodium salt

Glutamic dehydrogenase—> L- glutamate + NAD + H2O