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Test Code Billings Clinic: 8317 Mayo: NITU Nitrogen, Total, 24 Hour, Urine

Reporting Name

Nitrogen, Total, U

Performing Laboratory

Mayo Clinic Laboratories in Rochester

Useful For

Assessing nutritional status (protein malnutrition)

 

Assessment of protein nutrition and nitrogen balance in hospitalized patients

 

Evaluating protein catabolism

 

Determining nitrogen balance, when used in conjunction with 24-hour fecal nitrogen measurement

Method Name

Dumas Combustion


Necessary Information


24-Hour volume (in milliliters) is required.



Specimen Required


Supplies: Urine Tubes, 10 mL (T068)

Container/Tube: Plastic, 10-mL urine tube

Specimen Volume: 10 mL

Collection Instructions:

1. Collect urine for 24 hours.

2. No preservative. Refrigerated is the preferred preservation method.

Specimen Stability Information: Frozen 3 years

Additional Information: See Urine Preservatives-Collection and Transportation for 24-Hour Urine Specimens for multiple collections


Specimen Type

Urine

Specimen Minimum Volume

2 mL

Specimen Stability Information

Specimen Type Temperature Time Special Container
Urine Refrigerated (preferred) 7 days
  Ambient  7 days
  Frozen 

Reject Due To

  All specimens will be evaluated at Mayo Clinic Laboratories for test suitability.

Reference Values

<16 years: Not established

≥16 years: 4-20 g/24 hours

Interpretation

Urinary nitrogen excretion levels within the normal range are indicative of adequate nutrition.

 

Slightly abnormal excretion rates may be a result of moderate stress or complications, such as infection or trauma.

 

Significantly abnormal excretion rates may be associated with severe stress due to multiple traumas, head injury, sepsis, or extensive burns. The goal with therapy for a depleted person is a positive nitrogen balance of 4 to 6 g nitrogen/24 hours.

Day(s) Performed

Friday

Report Available

1 to 8 days

Test Classification

This test was developed and its performance characteristics determined by Mayo Clinic in a manner consistent with CLIA requirements. It has not been cleared or approved by the US Food and Drug Administration.

CPT Code Information

84999

LOINC Code Information

Test ID Test Order Name Order LOINC Value
NITU Nitrogen, Total, U 2660-9

 

Result ID Test Result Name Result LOINC Value
17418 Nitrogen, Total, U 2660-9
DUR8 Collection Duration 13362-9
TOTV Specimen Volume 28009-9

Urine Preservative Collection Options

Note: The addition of preservative or application of temperature controls must occur within 4 hours of completion of the collection.

Ambient

OK

Refrigerate

Preferred

Frozen

OK

50% Acetic Acid

OK

Boric Acid

No

Diazolidinyl Urea

No

6M Hydrochloric Acid

OK

6M Nitric Acid

No

Sodium Carbonate

OK

Thymol

OK

Toluene

No