Lesson 5 4 Chemical Examination of Urine Urine Slides: 16 Download presentation Lesson 5 -4 Chemical Examination of Urine Urine Chemical Tests Reagent strips • Multiple tests on one strip CLIA-waived Rapid results Urine Chemical Tests Color end-point Timed Principles of Reagent Strip Tests Glucose Bilirubin Ketones Principles of Reagent Strip Tests Blood p. H Protein Urobilinogen Principles of Reagent Strip Tests Nitrite Leukocyte esterase Specific gravity Reference values • See Table 5 -11 Special Reagent Strips Glucose Ketones Microalbumin h. CG Copper Reduction and Confirmatory Tests Reducing sugars Protein precipitation Bilirubin Ketones Reagent Strip Procedure Safety precautions Quality assessment • Specimen Room temperature Well-mixed • Reagent strips • Urine controls Reagent Strip Procedure Manual method Reagent Strip Readers Varying capacities Using the Clinitek Status Copper Reduction Test Clinitest • • Detects reducing sugars Use for sugars other than glucose Galactosuria Caustic reagent Copper Reduction Test Confirmatory Tests Protein • Acid precipitation Dilute acetic acid Dilute sulfosalicylic acid • Albumins and globulins react • Amount of precipitation proportional to protein concentration • Grade reaction: trace, 1+ to 4+ Confirmatory Tests Ketones – Acetest Bilirubin – Ictotest Leukocytes in urineNormal bilirubinGeneral urine examinationMicroscopic urine analysisCentrifugedDari hasil tes urine ternyataComposition of urine slideshareSection 2 reinforcement classifying chemical reactionsChapter 7 chemical formulas and chemical compounds testSection 2 classifying chemical reactions worksheet answersSection 1 chemical changesModern chemistry chapter 7 review answersChapter 18 chemical reactions balancing chemical equationsLesson 68 toxic reactions chemical equations"houghton mifflin"Chemical properties and changes lesson 4Physical changes lesson 3 outline