NPNs
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The concentration of nitrogen-containing compounds in this protein-free filtrate was quantified spectrophotometrically by converting nitrogen to ammonia and subsequent reaction with ________ reagent to produce a yellow color
Nessler’s reagent (K2[HgI4)
Most abundant NPN to least
Urea Amino acids Creatinine Creatine Ammonia
the major excretory product of protein metabolism.
Urea
Small quantities of urea (<10% of the total) are excreted through the:
GI tract & skin
Reference method for Urea
isotope dilution mass spectrometry (IDMS)
Analytic methods (Urea): Conversion of unionized urea to NH4 & CO2-3 results in increased conductivity
Conductometric
Analytic methods (Urea): Enzymatic reaction of NH4 2-oxoglutarate & NADH to form glutamate & NAD+
GLDH-couple enzymatic
Normal value of Urea Nitrogen (plasma/serum)
6-20mg/dl
Normal value of Urea Nitrogen (urine)
12-20g/d
An elevated concentration of urea in the blood is called
azotemia.
Very high plasma urea concentration accompanied by renal failure is called
uremia or the uremic syndrome.
is a result of reduced renal blood flow. Less blood is delivered to the kidney; consequently, less urea is filtered.
Prerenal azotemia
Decreased renal function causes an increase in plasma urea concentration as a result of compromised urea excretion.
renal azotemia
can be due to obstruction of urine flow anywhere in the urinary tract by renal calculi, tumors of the bladder or prostate, or severe infection.
Postrenal azotemia
The major causes of decreased plasma urea concentration include
low protein intake and severe liver disease. Pregnancy
Urea: Increased Urea N/C ratio: High Crea: Normal
Prerenal
Urea: Increased Urea N/C ratio: High Crea: Increased
Postrenal
product of catabolism of the purine nucleic acids.
Uric acid
Renal excretion accounts for about __% of uric acid elimination;
70
Nearly all of the uric acid in plasma is present as
monosodium urate.
Most other mammals have the ability to catabolize purines to _______, a more water-soluble end product.
allantoin
based on the oxidation of uric acid in a protein-free filtrate, with subsequent reduction of phosphotungstic acid in alkaline solution to tungsten blue. The method lacks specificity.
Caraway method
Reference method for URIC ACID
IDMS
Drugs such as __________ have been shown to increase values for uric acid.
salicylates and thiazides