The University of Iowa (UIHC)
Department of Pathology
LABORATORY SERVICES HANDBOOK


Urea Nitrogen
Order Code: BUN
Order Form: A-1a General Lab or IPR Req
  Chemistry
6240 RCP
356-3527
Specimen
Plasma
Collection Medium:
Plasma separator tube
Alternate
Collection Media:
Call laboratory for additional acceptable specimen collection 
containers.
Minimum:
2 mls whole blood in light green top tube or 1 microtube for pediatric 
patients
Testing Schedule:
24 hrs/day, 7 days a week, including holidays.
Analytic Time:
2 hours (upon receipt in laboratory)
Reference Range:
10-20 mg/dl
Test
Limitations:
Criterion: Recovery within plus or minus 10% of initial values.

Plasma
Icterus: No significant interference up to an I index of 60 
(approximate conjugated and unconjugated bilirubin concentration: 60 
mg/dl).

Hemolysis: No significant interference up to an H index of 1000 
(approximate hemoglobin concentration: 1000 mg/dl)

Lipemia (Intralipid): No significant interference up to an L index of 
1000 (approximate triglycerides concentration: 2000 mg/dl). There is 
poor correlation between turbidity and triglycerides concentration.

Ammonia produced in the cuvette during a GLDH or lactate UV 
determination interferes with the urea/BUN assay. The urea/BUN reagent 
must therefore not be installed on the analyzers together with reagents 
for the GLDH or lactate UV-test. In urine, endogenous ammonium ions 
interfere with the urea/BUN assay. Elevated concentrations can occur 
under acidic conditions (e.g. acidosis).

Great care must be taken to prevent ammonia contamination of the 
specimens and calibrators to be analyzed for urea/urea nitrogen.

Reference:
Glick MR, Ryder KW, Jackson SA. Graphical Comparisons of Interferences 
in Clinical Chemistry Instrumentation. Clin Chem 1986; 32:470-474.
Methodology:
Enzymatic
CPT Code:
84520

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Updated: 06/30/2004

Note: The information contained in this handbook is for use by personnel of University of Iowa Health Care. No other use is implied or intended.