Ketone Bodies in Urine and Blood
The appearance of persistent ketonuria associated with hyperglycemia or high levels of glycosuria in the diabetic patient points to an unacceptably severe level of metabolic disturbance and indicates an urgent need for corrective action. The patient should be advised to test for ketone bodies (acetone and aceto-acetic acid) when tests for glucose are repeatedly positive, or when there is substantial disturbance of health, particularly with infections. Rothera's sodium nitroprusside test may be used or, alternatively reagent-strips that are sensitive to ketones. In emergency situations such as diabetic ketoacidosis, a greatly raised concentration of plasma ketones can be detected with a reagent-strip and roughly quantified by serial 1 in 2 dilution of plasma with water.
Average user rating: 5 stars out of 1 votes
Post a comment