KETONE BODY ANALYSIS By: Dr. Beenish Zaki
LEARNING OBJECTIVES SKILL: At the end of the practical session, the student shall be able to detect the presence of ketones by qualitative analysis. KNOWLEDGE At the end of the session the student shall be able to explain and interpret the principle of Ketone body analysis and its clinical application
CAUSES OF KETONURIA Ketonuria occurs in association with Fever Anorexia Starvation Prolonged vomiting Fasting Diabetic ketoacidosis Pregnancy Strenuous exercise
INTERFERING FACTORS Carbohydrate free diet will cause ketonuria. Certain drugs like : Isopropyl Alcohol Insulin Metformin Levodopa
METHOD Rothera’s nitroprusside test
PROCEDURE Experiment Saturate 5 ml of urine with solid ammonium sulphate. Add 0.5 ml of sodium nitroprusside. Mix and add 0.5 ml of concentrated ammonia slowly through the side of the test tube. Do not mix
METHOD and PRINCIPLE Method: Rothera’s nitroprusside test Principle : Ketone bodies react with sodium nitroprusside to produce purple coloring at the junction of the two layers Ammonium sulphate removes the impurities Ammonia provides the alkaline medium
PROCEDURE ExperimentObservationInference Saturate 5 ml of urine with solid ammonium Sulphate. Add 0.5 ml of sodium nitroprusside. Mix and add 0.5 ml of concentrated ammonia slowly through the side of the test tube. Do not mix Purple colored ring is observed Presence of Ketone bodies acetoacetic acid and acetone