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Urea nitrogen, urine
CPT4 code
Name of the Procedure:
Urea Nitrogen, Urine Test
- Common Name: Urine Urea Nitrogen Test
- Medical Term: Urine Urea Nitrogen (UUN) Test
Summary
The Urea Nitrogen, Urine Test measures the amount of urea nitrogen, a waste product formed in the liver from protein breakdown, present in a urine sample. This test helps evaluate kidney function and protein metabolism.
Purpose
- Medical Condition: Assesses kidney function and protein metabolism.
- Goals/Outcomes: Helps diagnose kidney disorders, monitor kidney function, and evaluate a patient's nutritional status.
Indications
- Symptoms/Conditions:
- Symptoms of kidney dysfunction (e.g., swelling, fatigue, changes in urine output)
- Monitoring of known kidney disease
- Evaluate protein metabolism in patients with nutritional concerns
- Patient Criteria:
- Patients showing signs of kidney dysfunction
- Individuals with chronic kidney disease
- Patients needing nutritional assessment
Preparation
- Instructions:
- Usually no fasting required, but follow specific instructions provided by your healthcare provider.
- Avoid high-protein meals before the test, if instructed.
- Diagnostic Tests: No special diagnostic tests are required beforehand.
Procedure Description
- Collection:
- The patient is provided with a container and instructions for collecting a 24-hour urine sample.
- All urine passed over a 24-hour period is collected in the container.
- Tools/Equipment:
- Standard urine collection containers and possibly preservatives to maintain the sample.
- Anesthesia/Sedation: Not required.
Duration
Time: The urine collection spans a full 24 hours.
Setting
The procedure is generally conducted at home but may involve initial and final visits to a healthcare facility for instruction and sample drop-off.
Personnel
- Involved Professionals:
- Primary care physician or nephrologist
- Laboratory technicians (for sample analysis)
Risks and Complications
- Common Risks:
- Miscollection of urine sample
- Contamination of sample
- Rare Risks:
- None associated with the test itself.
Benefits
- Expected Benefits:
- Accurate assessment of kidney function
- Insight into protein metabolism and nutritional status
- Realization Time: Results are usually available within a few days after the test completion.
Recovery
- Post-Procedure Care:
- No special care required after the test.
- Recovery Time: There is no recovery time needed.
Alternatives
- Other Options:
- Blood urea nitrogen (BUN) test
- Serum creatinine test
- Urinalysis
- Pros and Cons:
- Blood tests also provide information about kidney function but do not capture daily variations in urine production and protein metabolism as effectively as a 24-hour urine test.
Patient Experience
- During the Procedure:
- Patients will need to follow specific instructions for proper urine collection, which may be inconvenient.
- After the Procedure:
- There is no pain or discomfort associated, and normal activities can be resumed immediately.
- Pain Management: Not necessary.