Dietetics for NursesProudfit, Fairfax T. (Fairfax Throckmorton)
Science
Dietetics for Nurses
Proudfit, Fairfax T. (Fairfax Throckmorton)
Diet in disease
According to Joslin, it must be remembered that similar reaction is
obtained in the urine of individuals taking salicylates, antipyrin,
cyanates, or acetates, but it is a simple process to differentiate
between the color produced as a result of diacetic acid and that
produced by the above-mentioned drugs. If the solution is boiled for
two minutes, the color from diacetic acid will disappear, owing to the
unstableness of that substance, while that from the drugs will remain
unchanged.
~Test for Acetone.~--Pour 5 c.c. of urine to be tested into a test
tube, add a crystal of sodium nitroprusside, acidify with glacial
acetic acid, shake well, and then make alkaline with ammonium hydrate.
The presence of acetone is indicated by a purple color.
TESTS FOR ALBUMEN
The heat test[113] is the simplest. This consists of first filtering
the urine through filter paper, then pouring some of the clear urine
into a test tube, holding the test tube in a flame so that only the
upper layer boils, then adding a few drops of 2% solution of acetic
acid and boiling again. If there is albumen present, a very faint, or
a heavy cloudiness (precipitate of coagulated albumen) forms on
boiling and persists or becomes heavier on the addition of a few drops
of dilute acetic acid (2%) and boiling again. If a precipitate occurs
at the first boiling, but clears up again entirely on adding acetic
acid, it is not albumen but harmless phosphates or carbonates.
HELLER'S TEST FOR ALBUMEN
Into a test tube pour a few drops of nitric acid, filter the urine and
allow a small quantity of it to trickle from a pipette down the side
of a test tube until it comes in contact with the acid. If albumen is
present a distinctly formed white ring is seen at the zone of contact.
TEST FOR INDICAN
This material is found in cases of obstinate constipation and in other
intestinal disturbances where the passage of the food mass in the
small intestines is delayed and the putrefactive bacteria exert their
activities upon the unabsorbed protein.
~Test.~--Mix equal quantities of urine and fresh hydrochloric acid and
add drop by drop fresh concentrated solution of chloride of lime (5 to
1,000). Indican is indicated by the appearance of a blue color.
SUMMARY
~Urinalysis~ represents one of the most important means for
determining the health of an individual, since it is the urine that
shows those substances produced in the body as a result of the
breaking down of the body tissues and protein foods.
~Composition of Normal Urine~ must be familiar to the nurse in order
that she may recognize any change taking place in the urine of her
patient which may indicate pathological conditions in the body.
~The Specific Gravity~ of urine is one of the points by means of which
the presence of certain substances more or less abnormal in character
is determined.
~Other Points~, such as color, odor, quantity, reaction, and chemical
composition, likewise show any deviation from the normal in the
individual.
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