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8/20/2019 Johll Urinalysis Lab
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Experiment 8
Urine and Blood Analysis
Instructor Notes and Answers
Part A Qualitative Analysis of Blood and Urine Electrolytes
o Please review all Material Safety ata S!eets for t!e c!emicals used in t!is
la"oratory#
o Prepare all standard simulated "lood solutions from $ % of distilled water to
w!ic! one drop of red food colorin& !as "een added# Use t!is solution as t!e
"lan' simulated "lood#
o Prepare all standard simulated urine solutions from $ % of distilled water to
w!ic! one drop of yellow food colorin& !as "een added# Use t!is solution as
t!e "lan' simulated urine#
o (ou may c!oose to distri"ute your standards and "lan's in vials or test tu"es
at t!e "e&innin& of t!e la"# Alternatively) you may c!oose to !ave t!ese
solutions at a central location and !ave t!e students o"tain t!eir samples as
needed t!rou&!out t!e la" session# *ompara"ly) students will need more "loodand urine "lan' in order to perform a "lan' test for eac! analysis#
+est for Sodium and Potassium Ions
o Prepare t!e "lood and urine sodium standards to approximately ,#$ M# +!is is
close to t!e concentrations of real samples# (ou may use any sodium salt -e#)sodium c!loride) sodium nitrate.# Students s!ould see a "ri&!t oran&e flame for "ot! t!e "lood and urine
standards prior to the wire glowing # /it! t!e "lan's) t!e students s!ould
only see an oran&e flame w!en t!e wire "e&ins to &low#
o Prepare t!e "lood and urine potassium standards to approximately ,#$ M# +!is
is close to t!e normal concentration in a real urine sample) "ut 0,12,3 &reatert!an a real "lood sample# Students s!ould see a pale violet flame for "ot! t!e "lood and urine
standards prior to t!e wire &lowin Students may see an oran&e flame as
t!e wire "e&ins to &low# /it! t!e "lan's) t!e students s!ould only see anoran&e flame w!en t!e wire "e&ins to &low#
+est for *!loride
o Prepare t!e "lood c!loride sample to approximately ,#$ M in "lood "lan'#
+!is is also close to t!e concentration of a real sample# If you used sodium
$
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c!loride w!en preparin& t!e "lood sodium standard) you may use t!e same
solution# Students s!ould see t!e appearance of a w!ite A&*l precipitate wit! t!e
addition of t!e silver nitrate solution#
o Prepare t!e silver nitrate solution to ,#,2 M in distilled water#
+est for P!osp!ate
o Prepare t!e "lood p!osp!ate standard solution to ,#$ M in "lood "lan'# +!is is
very !i&! compared to a real "lood sample -i#e#) ,#,,$ M.# (ou may use p!osp!ate or !ydro&en p!osp!ate salts# Sodium p!osp!ate wor's well#
Students s!ould see t!e solution turn yellow after !eatin& several minutes
in t!e water "at! followin& t!e addition of t!e nitric acid and ammonium
moly"date# +!e yellow color is due to a precipitate t!at eventually falls outof solution#
+est for *alcium
o Prepare t!e "lood calcium standard solution to ,#$ M in "lood "lan'# *alcium
c!loride wor's well# +!is is very !i&! compared to a real "lood sample -i#e#)
,#,,4 M.# Students s!ould see t!e appearance of a w!ite calcium oxalate precipitate
wit! t!e addition of t!e ammonium oxalate solution# If students !ave difficulty seein& t!e precipitate) t!e p5 may "e too low
-increasin& t!e solu"ility of calcium oxalate. and few drops of sodium!ydroxide or ammonium !ydroxide may "e added#
o Prepare t!e ammonium oxalate solution to ,#$ M in distilled water#
+est for Ammonium
o Prepare t!e "lood ammonium standard solution to ,#$ M in "lood "lan'# +!is
is very !i&! compared wit! a real "lood sample -i#e#) ,#,,,2 M.# Students s!ould see t!e wetted red litmus paper turn "lue as ammonia
vapor leaves t!e solution#
Part B Qualitative Analysis of Urine Proteins) 6lucose) and 7etones
+est for Proteins
o Prepare t!e urine protein standard solution wit! $#, m% of e&& w!ite to every
09: m% of "lan' simulated urine# If t!e standard "ecomes muc! more
concentrated t!an t!is) t!e solution will !ave a distinct cloudy appearance# Students s!ould "e a"le to see t!e foamin& of t!e proteins as t!ey "ecome
denatured in t!e !eat and t!e solution "e&ins to "oil#
0
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+est for 6lucose
o Prepare t!e simulated urine &lucose standard wit! $ & &lucose to every 2, m%
"lan' simulated urine#
After t!e addition of t!e Benedict;s solution and !eatin&) students s!ould "e a"le to see a "ric' red precipitate "e&in to form and eventually settle att!e "ottom of t!e test tu"e#
o Prepare $,, m% of Benedicts solution wit! $#250=) $, & sodium
car"onate) $
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7idney ailure) Blood? potassium c!loride and potassium p!osp!ate
P!osp!ate concentration will "e twice w!at was tested in t!e
standards) "ut t!is will not affect t!e analysis# ia"etesrelated) Urine? e&& w!ites) acetone) &lucose) sodium c!loride
ia"etesrelated) Blood? sodium nitrate or any ot!er sodium salt except
p!osp!ate or c!loride# 5eart ailure) Urine? e&& w!ite
5eart ailure) Blood? any ammonium salt except c!loride or p!osp!ate
Pre&nancyrelated) Urine? (ou may c!oose to add &lucose or a sodium salt
to any urine un'nown to su&&est pre&nancy# Pre&nancyrelated) Blood? NA
o isclaimer? +a"le 8#$ su&&ests si&nificantly !i&! levels of species in urine and
"lood t!at indicate a medical conditionC !owever) t!is experiment is tailored to
a moc' environment and s!ould not "e used for !ealt!related dia&noses of
real people#
9
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Experiment 8 Urine and Blood Analysis Answers
$# +a"le 8#$ s!ows si&nificantly !i&! levels of species -e#) sodium. tested in t!isexperiment correspondin& wit! potential !ealt! conditions# Assume t!at t!e tests
you performed in t!is experiment only &ave positive results -i#e#) formation of
color or precipitate. w!en t!e concentration of t!e species was &reater t!anDnormal levels# Usin& +a"le 8#$ and your results for your un'nown samples
-ta'en from t!e deceased woman.) determine if t!e woman may !ave potentially
died from one of t!e listed conditions# Also determine if s!e could !ave "een pre&nant# Explain your reasonin
Answers will vary "ased on t!e un'nowns supplied# Be sure to ma'e sure t!estudents explain t!eir reasonin
0# Usin& your c!emistry text or t!e Internet) explain w!y t!e color of t!e flame is
different for potassium and sodium standard samples# 5int? (ou will need to
"riefly discuss atomic structure) ener&y levels) and electrons#
+!e atomic structure of eac! atom is different) resultin& in a distri"ution ofelectronic ener&y levels uni@ue for eac! element# +!is distri"ution presents
various ener&y level electron transitions# +!e flame excites t!e atom forcin&
an electron from a lower ener&y level to a !i&!er ener&y level# /!en t!e atomrelaxes) a p!oton of li&!t is &iven off correspondin& to t!e uni@ue ener&y
difference for potassium or sodium#
4# Usin& your c!emistry text or t!e Internet) identify t!e precipitate products for t!ec!loride and calcium tests#
Silver c!loride and calcium oxalate
2
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Experiment 8
Urine and Blood Analysis
Purpose
+o introduce t!e student to "lood and urine analysis tec!ni@ues of common electrolytes)
proteins) &lucose) and 'etones# Students will "ecome familiar wit! common precipitatin&
and colorc!an&in& reactions#
Time Duration 0 1 4 !ours
Materials
="tain t!e followin& materials?$# Standard simulated "lood and urine samples of potassium and sodium
0# Standard simulated "lood samples of c!loride) calcium) ammonium) and
p!osp!ate4# Blan' simulated urine and "lood samples9# $, test tu"es
2# +est tu"e clamp
F# Bunsen "urner
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Nurses and doctors commonly re@uest a "lood andHor urine sample in an attempt to
dia&nose !ealt! conditions) w!ile toxicolo&ists re&ularly analye "lood and urine to aid
medical examiners in t!e determination of cause of deat!#+!e composition of "ot! "lood and urine c!an&es as a function of !ealt!# Urine is
often analyed for t!e presence of proteins) &lucose) andHor 'etones# +!ese species are not
present to any apprecia"le de&ree in t!e urine of a !ealt!y individual# Presence of one ormore of t!ese species at si&nificant levels may indicate de!ydration) 'idney dama&e) or
dia"etes# In addition) urine and "lood are "ot! fre@uently analyed for electrolyte levels
of sodium and potassium) w!ile "lood is additionally analyed for t!e presence ofc!loride) p!osp!ate) calcium) and ammonium# All of t!ese electrolytes are endo&enous to
"ot! urine and "lood and !ave defined normal levels# 5owever) an increase or decrease in
t!eir normal levels may indicate a condition of !eart failure) dia"etes) or starvation#
+a"le 8#$ s!ows si&nificantly !i&! levels of electrolytes) proteins) &lucose) and'etones -as indicated "y an Dx. in urine and "lood of six potentially fatal medical
conditions# Elevated levels for pre&nancy are also s!own# (ou will use +a"le 8#$) in
conJunction wit! your results from t!is experiment of "ot! simulated "lood and urine
samples ta'en from t!e corpse of an unidentified female) to presumptively determinecause of deat!# In addition) you will determine w!et!er or not s!e may !ave "een
pre&nant#
Table 8.1. Elevated %evels in Urine -U. and Blood -B. as a unction of Medical
*onditions
Protein-U.
7etones-U.
6lucose-U.
Sodium-U.
Potassium-U.
Sodium-B.
Potassium-B.
*!loride-B.
P!osp!ate-B.
*alcium-B.
Ammonium-B.
e!ydration K K K K K
Starvation K K
5eavy Metal Poisonin& K
7idney ailure K K K K K K
ia"etesrelated K K K K K
5eart ailure K K
Pre&nancyrelated K K
Procedures
Part A Qualitative Analysis of Blood and Urine Electrolytes
$# ="tain standard simulated "lood and urine samples of potassium and sodium#
="tain standard simulated "lood samples of c!loride) calcium) ammonium) and
p!osp!ate# Also o"tain one simulated "lood and one simulated urine sample'nown not to contain any of t!e a"ove species -"lan' samples.# %a"el all of your
samples#
+est for Sodium and Potassium Ions?
0# ="tain approximately 8 inc!es of nic!rome wire# Bend a small loop at one end to
allow trappin& of a small amount of li@uid sample#
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4# Prepare and li&!t your Bunsen "urner# ip t!e loop of your nic!rome wire into
your "lan' simulated "lood sample# Introduce t!e wire loop into t!e flame and
record your results#LL (ou will "e performin& a flame test# +!e color of t!e flame prior to t!e wire
&lowin& oran&e will "e representative of t!e species present -i#e#) potassium or
sodium.# (ou may wis! to record t!e appearance of t!e flame "ot! prior to andafter t!e wire "e&ins to &low#
9# Gepeat step 4 wit! your standard simulated "lood sodium sample#
2# Gepeat steps 4 and 9 wit! your "lan' and standard simulated urine sodium
samples) respectively#
F# Gepeat steps 412 usin& your standard simulated "lood and urine potassium
samples#
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$4# Add 412 drops of 4 M nitric acid and 0, drops of ammonium moly"date solution
to eac! test tu"e#
$9# Place t!e test tu"es upri&!t in t!e warmed water# Allow t!em to sit for 21$,
minutes# ecord your o"servations#
$2# +urn off your !ot plate or Bunsen "urner# ispose of your samples in an
appropriate waste container and rinse your test tu"es clean# (ou may need to use a
test tu"e "rus! for cleanin
+est for *alcium Ion?
$F# ispense $ m% of standard simulated "lood calcium sample into a test tu"e and$ m% of "lan' simulated "lood into a separate test tu"e#
$
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04# +urn off your Bunsen "urner# ispose of your samples in an appropriate waste
container and rinse your test tu"es clean#
Part B Qualitative Analysis of Urine Proteins) 6lucose) and 7etones
$# ="tain standard simulated urine samples of protein) &lucose) and 'etones# %a"el
your samples if t!is !as not already "een done#
+est for Proteins?
0# ispense approximately $10 m% of standard simulated urine protein sample and
$10 m% of "lan' simulated urine sample into two separate test tu"es#
4# Prepare and li&!t your Bunsen "urner# 5old t!e urine protein test tu"e over t!e
flame of t!e Bunsen "urner# ollow all precautions &iven in part A w!en !eatin& a
test tu"e in an open flame# Gemove t!e test tu"e from t!e flame Just as it "e&ins to "oil# +!e precipitate formed in t!is experiment appears as Dsoapy "u""les or
frot! on t!e inside of t!e test tu"e# ecord your o"servations#
9# Gepeat step 4 wit! your "lan' simulated urine sample#
2# +urn off your Bunsen "urner# ispose of your samples in an appropriate waste
container and rinse your test tu"es clean#
+est for 6lucose?
F# Set up an apparatus similar to t!at in part A) step $$C !owever) t!e water will need
to "e&in "oilin& for t!is procedure#
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$$# In a fume !ood) slowly add approximately $ m% of concentrated ammonium
!ydroxide to eac! test tu"e) so as to form a separate layer on top of t!e solutions#
$0# After $10 minutes) record your o"servations focusin& on t!e interface "etween
t!e two layers#
$4# ispose of your samples in an appropriate waste container and rinse your test
tu"es clean#
Part * Analysis of Un'nown Blood and Urine Samples
$# ="tain an un'nown simulated "lood and urine sample# ecord your un'nownnum"ers#
0# +est your un'nown simulated "lood and urine samples wit! procedures in parts A
and B# (ou do not need to run "lan' samples unless re@uired "y your instructor#ecord all of your o"servations#
4# etermine in eac! case if t!e species "ein& tested is present# Explain your
reasonin
9# *lean up w!en finis!ed#
$$
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Name? ate?
Experiment 8
Urine and Blood Analysis /or's!eet
esults and !bser"ations
Part A #ualitati"e Analysis o$ Blood and Urine Electrolytes
o ="servations
Standard Sample Blan' Sample
Blood sodium
Urine sodium
Blood potassium
Urine potassium
Blood c!loride
Blood p!osp!ate
Blood calcium
Bloodammonium
$0
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Part B #ualitati"e Analysis o$ Urine Proteins% &lucose% and 'etones
o ="servations
Standard Sample Blan' Sample
Urine proteins
Urine &lucose
Urine 'etones
Part ( Analysis o$ Un)nown Blood and Urine *amples
o ="servations Un'nown Os
Un'nown Sample Present or not present Explain#
Blood sodium
Urine sodium
Blood potassium
Urine potassium
Blood c!loride
$4
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Un'nown Sample Present or not present Explain#
Blood p!osp!ate
Blood calcium
Blood
ammonium
Urine proteins
Urine &lucose
Urine 'etones
$9
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Name? ate?
Experiment 8 Urine and Blood Analysis #uestions
9# +a"le 8#$ s!ows si&nificantly !i&! levels of species -e#) sodium. tested in t!is
experiment correspondin& wit! potential !ealt! conditions# Assume t!at t!e tests
you performed in t!is experiment only &ave positive results -i#e#) formation of
color or precipitate. w!en t!e concentration of t!e species was &reater t!anDnormal levels# Usin& +a"le 8#$ and your results for your un'nown samples
-ta'en from t!e deceased woman.) determine if t!e woman may !ave potentially
died from one of t!e listed conditions# Also determine if s!e could !ave "een pre&nant# Explain your reasonin
2# Usin& your c!emistry text or t!e Internet) explain w!y t!e color of t!e flame is
different for potassium and sodium standard samples# 5int? (ou will need to
"riefly discuss atomic structure) ener&y levels) and electrons#
F# Usin& your c!emistry text or t!e Internet) identify t!e precipitate products for t!e
c!loride and calcium tests#
$2