NPN: Urea Flashcards
total NPN of urea
urea has the highest concentration among other NPNs
45-50%
T/F. urea is the major excretory product of the metabolism of proteins
TRUE
concentration is expressed in terms of nitrogen content
BUN x 2.14 = urea
how to get urea -> BUN
urea/2.14=BUN
reference method
Isotope Dilution Method (IDMS)
Fearon Method
Reagent:
Product:
rgt.: Diacetyl monoxime
prod.: diazine (yellow)
rgt.: K2(HgI4)
prod.: ammonium dimercuric iodide
Nesslerization
Nesslerization end product
yellow
rgt.: sodium nitroprusside
prod.: indophenol
Berthelot
Berthelot end product
blue
citrate and fluoride inhibits
urease
GLDH-Couple Enzymatic absorbance
↓A@340nm
measurement of the increase in conductivity due to NH4+ and CO3^2- ions
↑ urea ↑ ammonium
conductimetric
Reference range
6-20mg/dL BUN
Conversion factor
0.357
pre-renal
renal
post-renal
azotemia
↑ BUN, normal Crea
pre-renal
dehydration
↓ blood volume
high-protein diet
↑ protein catabolism
pre-renal
↑BUN, ↑crea
renal
post-renal
↓ excretion
(glomerulonephritis, renal failure)
renal
urinary tract obstruction
(nephrolithiasis, tumors, severe infection)
post-renal
very high plasma urea accompanied by renal failure
↑ BUN, ↑ crea, ↓GFR (Glomerular Filtration Rate)
uremia/uremic syndrome