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Urinalysis - The Carter Center

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yellow - green, or blue in its presence. <strong>The</strong> shade of the color is<br />

dependent on the amount of protein present. Falsely positive reactions<br />

may occur when protein is absent, if the urine is exceptionally alkaline or<br />

highly buffered.<br />

Procedure<br />

Observe the precautions and follow the instructions supplied by the<br />

manufacturer.<br />

1. Dip the reagent area of the strip briefly into the specimen.<br />

2. Remove excess urine by tapping or drawing the edge of the strip<br />

along the rim of the urine container.<br />

3. Compare the color that develops with the color chart supplied by the<br />

manufacturer and report as indicated on the chart.<br />

Quantitative 24 hour Protein Determinations<br />

Simple estimates of the protein content of urine are performed by<br />

quantitating the amount of precipitation formed following the addition of a<br />

specific chemical to the urine. <strong>The</strong> precipitate is measured either by<br />

comparison with known standards (sulphosalicylic acid turbidity test) or<br />

by recording the height of the column of precipitate in a speciallydesigned<br />

tube (Esbach's test).<br />

A. Sulphosalicylic Acid Turbidity Test<br />

Procedure<br />

1. Pipette 2.5 ml of centrifuged urine into a test tube.<br />

2. Add 7.5 ml of 3% sulphosalicylic acid.<br />

3. Invert to mix<br />

4. Let stand 30 minutes.<br />

Compare the turbidity with known standards prepared from<br />

solutions containing 10, 20, 30, 40, 75 and 100mg albumin/dl,<br />

and estimate the concentration of the unknown. If the unknown<br />

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