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Urea nitrogen - urine

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Contents of this page:

Illustrations

Female urinary tract
Female urinary tract
Male urinary tract
Male urinary tract

Alternative names    Return to top

UUN; Urine urea nitrogen

Definition    Return to top

A urea nitrogen urine test measures the amount of urea in the urine.

How the test is performed    Return to top

A 24-hour urine sample is needed.
The health care provider will instruct you, if necessary, to discontinue drugs that may interfere with the test.

Infant:
Thoroughly wash the area around the urethra. Open a urine collection bag (a plastic bag with an adhesive paper on one end), and place it on the infant. For males, the entire penis can be placed in the bag and the adhesive attached to the skin. For females, the bag is placed over the labia. Diaper as usual over the secured bag.

This procedure may take a couple of attempts -- lively infants can displace the bag, causing the specimen to be absorbed by the diaper. The infant should be checked frequently and the bag changed after the infant has urinated into the bag. The urine is drained into the container for transport to the laboratory.

Deliver it to the laboratory or your health care provider as soon as possible upon completion.

How to prepare for the test    Return to top

No special preparation is necessary for this test, but if the collection is being taken from an infant, a couple of extra collection bags may be necessary.

How the test will feel    Return to top

Urinate in the normal manner, but collect all the urine in the container provided.

Why the test is performed    Return to top

This test is mainly used to assess the protein balance and the amount of dietary protein needed by severely ill patients. Urine urea serves this purpose as it is a measure of protein breakdown in the body.

Urea is excreted by the kidneys, so excretion of urea can reflect kidney function. The urine urea excretion can be measured to obtain a ratio between the plasma (blood) urea and the urine urea. This ratio (U/P urea) is an indicator of how well the kidneys are able to filter and excrete urea from the bloodstream.

Normal Values    Return to top

Normal values range from 6 to 17 gm/24 hours or (60 to 90 mg/dl). Normal value ranges may vary slightly among different laboratories.

Note: gm/24 hours = grams per 24 hours; mg/dl = milligrams per deciliter

What abnormal results mean    Return to top

Abnormal results are indicated as follows:

Low levels usually indicate:

High levels usually indicate:

What the risks are    Return to top

There are no risks associated with testing urine urea.

Update Date: 2/11/2004

Updated by: Andrew Koren, M.D., Department of Nephrology, NYU-Mount Sinai Medical Center, New York, NY. Review provided by VeriMed Healthcare Network.

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