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Urinalysis - The Carter Center

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Contents of tablet<br />

<strong>The</strong> acetest tablet contains Sodium Nitroprusside (Nitroferricyanide),<br />

Glycine, and a strongly Alkaline buffer.<br />

D. Acetone Powder Test<br />

Procedure<br />

1. Place a small amount of acetone powder on a clean sheet of<br />

paper.<br />

2. Add three or four drops of urine.<br />

3. A purple color is a positive test for acetone and diacetic acid.<br />

Preparation of Acetone Powder Reagent (See Reagent Number 2)<br />

E. Ketostix, Rreagent Strip Test<br />

Procedure<br />

1. Dip test- end of the strip in urine<br />

2. At 15 seconds compare the color of dipped- end with the color<br />

chart.<br />

3. Report as indicated by the color chart.<br />

Contents of Reagent Strip<br />

It contains Sodium Nitroprusside, Glycine, and a strongly Alkaline buffer.<br />

In alkaline medium, acetoacetic acid (diacetic acid) and acetone react<br />

with nitroprusside in the presence of glycine to form a purple complex.<br />

Gerhardt's Test for Acetoacetate (Diacetic Acid)<br />

Gerhardt's test is specific for acetoacetate (diacetic acid); however it is<br />

capable of detecting only large amounts of acetoacetate. <strong>The</strong> test has<br />

been used as a means of determining the severity of ketosis. A positive<br />

result indicates severe ketosis, and treatment must be started<br />

53

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