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Urinalysis - The Carter Center

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4. If acetone or acetoacetate is present, a red to purple color will<br />

develop at the line of contact. <strong>The</strong> color may not appear for 10-15<br />

minutes. Disregard any brown or orange colors.<br />

5. Report the test as positive or negative.<br />

52<br />

Note: Urine collected after a big meal may give a purplish color within<br />

30 seconds but it fades within 3-4 minutes. This is not a positive<br />

test.<br />

Preparation of Sodium Nitroprusside Reagent (See Reagent Number15)<br />

B. Lang's Test for Acetone and Acetoacetate<br />

Procedure<br />

1. Pour about 5 ml of fresh urine into a test tube.<br />

2. Add 5 drops of glacial acetic acid and a few drops of saturated<br />

solution of sodium nitroprusside mix.<br />

3. Slowly overlay with ammonium hydroxide (28%, full strength)<br />

4. If acetone is present, a purple or reddish purple ring will appear at<br />

the meeting place of the two liquids.<br />

5. Report the test as positive or negative.<br />

Preparation of Saturated Sodium Nitroprusside (See Reagent Number<br />

16)<br />

C. Acetest Tablet Test<br />

Procedure<br />

1. Place an acetest tablet on a piece of white paper.<br />

2. Place a drop of urine on the tablet.<br />

3. If acetone or diacetic acid is present, a purple color will develop<br />

within 30 seconds. (compare with the color chart that comes with<br />

the reagent).<br />

4. Report the test as positive or negative.

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