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