UREA Enzymatic, Colorimetric principle Urea is hydrolyzed by urease forming ammonia and carbamic acid. Carbamic acid spontaneously decomposes into ammonia and carbon dioxide. The released ammonium, in the presence of salicylate and nitroferricyanide reacts in alkaline solution of sodium hypochlorite, to form a green dye compound. The intensity of the green color produced is directly proportional to the amount of urea concentration. Reagents composition R1 Urea Standard 50mg/dl Urease >5000 U/l R2 (Urease) R3 Phosphate Buffer pH 8.0 50 mmol/l (buffer reagent) Sodium Salicylate 52 mmol/l Sodium nitroprusside 1.0 mmol/l Sodium Hydroxide 20 mmol/l R4 Reagent 1000 L 1000 L Drop Drop Drop 50u/l 50 u/l 50 u/l Sodium Hypo-chlorite CORROSIVE 10 L Standard(R1) 10 L Sample Mix and incubate for 3 min at 37°C or 5 min at 20-25o C. Reagent (R4) (color reagent) 1000 L (R3) (Standard) R2 Store the kit at 2 - 8° C All the components are stable until the stated expiration date if stored tightly closed,refrigerated and protected from light. It seldom occurs bacterial defilement that is pointed out from the presence of filaments in the reagents. In that case it is necessary discard the reagent Preparation and Stability of working solution All reagents are ready for use and stable up to expiry date given on label when stored at 2-8oC Safety precautions For in vitro diagnostic use only Do not pipette by mouth Exercise the normal precautions required for handling laboratory reagents. Procedure Wave length : 578 nm ( 578-630 ) Optical Path : 1 cm light path Temperature : 20-25/37oC Reading : Against reagent blank Assay type End point BLANK STANDARD SAMPLE 200 L 200 L 10 mmol/l Min, incubate for 5 min at 37°C or 10 min at 25oC and read sample and standard extinction against blank. *Calculation Storage and Stability of Reagents 200 L Serum/Plasma A Sample UREA (mg/dl) = x standard Value A standard Urine A Sample UREA (mg/dl) = x standard Value x 20 A standard Urine/24 h Urea in urine (mg/dl) Urea (g/24 h) = x Urine Volume 24 h (lt)100 Reference values (as Urea) Serum, plasma: 17 - 50 mg/dl Urine: 20 - 35 g/24 h These values should only be used as a guideline. Each laboratory should establish its Normal Reference Range Performance Characteristics A. LINEARITY LIMIT The reaction is linear up to 300 mg/dl For higher value dilute sample 1:2 with normal saline, repeat the test and multiply the value by 2 B. DETECTION LIMIT Values less than 2.2 mg/dl give non - reproducible results C. INTRA - ASSAY PRECISION (N = 20 replicates) Mean (mg/dl) SD CV% Control 1 42.05 1.658 3.94 Control 2 141.05 2.655 1.88 D. INTER - ASSAY PRECISION (20 replicates for 3 days) Mean (mg/dl) SD CV% Control 1 41.72 1.82 4.35 Control 2 140.90 2.35 1.67 E. ACCURACY Comparation between this method (y) and another commercial one (x), gave the following results: N = 20 r = 0.993041 y = 1.03x + 1.35 F. INTERFERENCES 1.Haemoglobin up to100 mg/dl does not interfere 2. Bilirubin up to 20 mg/dl does not interfere 3.Triglycerides up to 1000 mg/dl do not interfere Notes Conversion: BUN = UREA x 0.47 (1 mg BUN = 0.47 mg UREA) UREA = BUN x 2.13 (1 mg UREA = 2.13 mg BUN) Bibliography Talke H., Schubert G. E.: Klin Wchers 43, 174 (1965) For in vitro diagnostic use only. The following symbols are used on labels For in vitro diagnostic use Use by (last day of the month) Temperature limitation Batch Code