Non-Protein Nitrogen Compounds
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Product of analytic methodology requiring removal of protein from sample before analysis
Nonportein nitrogen compounds
NPN compounds are used to
Monitor renal or kidney function
Concentration of nitrogen-containing compounds was quantified spectrophotometrically by converting nitrogen to
Ammonia
Majority of NPN compounds arise from catabolism of
Proteins Nucleic acids
Approximate plasma concentration (% of total NPN)
Urea 45-50 Amino Acids 25 Uric Acid 10 Creatinine 5 Creatine 1-2 Ammonia 0.2
Approximate urine concentration (% of excreted)
Urea 86.0 Amino Acids - Uric Acid 1.7 Creatinine 4.5 Creatine - Ammonia 2.8
NPN with the highest concentration in the blood
Urea
Major excretory product of protein metabolism
Urea
Organ that synthesize urea
Liver
Two forms of urea
Blood urea nitrogen (BUN) Urea nitrogen (UN)
Urea N → Urea concentration
Urea N x 2.14
Clinical function of urea
Evaluate renal function Assess hydration status To determine nitrogen balance To aid in the diagnosis of renal disease To verify adequacy of dialysis
Factors that affect concentration of urea in the plasma
Protein content of the diet Rate of protein catabolism Renal function Perfusion
Urea is reported in terms of
Nitrogen concentration
Chemical Method (Direct Method) for Urea
Diacetyl monoxime method
Substrate of Diacetyl monoxime method
Urea + DAM
Product of Diacetyl monoxime method
Yellow Diazine Derivative
Enzymatic Methods (Indirect Method) for Urea
Urease (Urea aminohydrolase) Coupled Urease/ Glutamate Dehydrogenase method
Proposed reference method for urea
Isotope dilution mass spectrometry (IDMS)
Conversion factor of Urea
0.357
Specimens for urea measurements
Plasma Serum Urine
Fasting sample is required for urea measurements. True or False?
False; not required
Why cant we use citrate and fluoride in plasma when measuring urea?
Citrate and fluoride inhibit urease
Why should we refrigerate urine samples for urea e=measurements?
Urea is susceptible to bacterial decomposition