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Test ID: UPH24 pH, 24 Hour, Urine

Reporting Name

pH, Urine 24 Hour

Useful For

Assessment of patients with metabolic acidosis

 

Assessment of crystalluria

 

Monitoring the effectiveness of alkalinization or acidification of urine for certain medical conditions (eg, treatment of uric acid nephrolithiasis)

Clinical Information

Urine pH is a measure of the acidity/alkalinity of urine and by itself usually provides little useful information. Under normal conditions its value is influenced by the type of diet. Some diets (eg, diets rich in meat) have more acid content than others (eg, vegetarian diets).

 

Changes in urine pH may reflect systemic acid-base disorders. For example, the normal response during metabolic acidosis is a lowering of the urine pH to <5. If the pH is >5, then a defect in urine acidification should be considered. A urine pH >7 is suggestive of infection by a urea-splitting organism such as Proteus mirabilis.

 

Therapeutic interventions to either alkalinize or acidify the urine are necessary for some diseases. For example, some crystals have a propensity to form in alkaline urine, while others form in relative acidic urine, and changing the pH may reduce stone formation.

Interpretation

Dependent on clinical condition

 

A pH >7 suggests the presence of urinary tract infection with a urea-splitting organism.

Analytic Time

2 days

Day(s) and Time(s) Performed

Monday through Saturday; 6:30 a.m.-5 p.m.

Method Name

pH Meter

Specimen Type

Urine


Necessary Information


24-Hour volume is required.



Specimen Required


Supplies: Diazolidinyl Urea (Germall) 5.0 mL (T822)

Container/Tube: Plastic, 10-mL urine tube (T068) or a clean, plastic aliquot container

Specimen Volume: 10 mL

Collection Instructions:

1. Collect urine for 24 hours.

2. Add 5 mL of diazolidinyl urea as preservative at start of collection or refrigerate specimen during and after collection.

3. Refrigerate specimen within 4 hours of completion of 24-hour collection.

Additional Information: See Urine Preservatives-Collection and Transportation for 24-Hour Urine Specimens in Special Instructions for multiple collections.


Specimen Minimum Volume

1 mL

Specimen Stability Information

Specimen Type Temperature Time Special Container
Urine Refrigerated (preferred) 7 days
  Frozen  7 days

Reference Values

4.5-8.0

Test Classification

This test was developed and its performance characteristics determined by Mayo Clinic in a manner consistent with CLIA requirements. This test has not been cleared or approved by the U.S. Food and Drug Administration.

CPT Code Information

83986

LOINC Code Information

Test ID Test Order Name Order LOINC Value
UPH24 pH, Urine 24 Hour 27378-9

 

Result ID Test Result Name Result LOINC Value
PH24 pH, Urine 24 Hour 27378-9
TM90 Collection Duration 13362-9
VL72 Volume 3167-4

Urine Preservative Collection Options

Note: The addition of preservative or application of temperature controls must occur within 4 hours of completion of the collection.

Ambient

No

Refrigerate

OK

Frozen

OK

50% Acetic Acid

No

Boric Acid

No

Diazolidinyl Urea

Preferred

6M Hydrochloric Acid

No

6M Nitric Acid

No

Sodium Carbonate

No

Thymol

OK

Toluene

No

Mayo Clinic Laboratories | Endocrinology Catalog Additional Information:

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