Urine urea nitrogen is a measure of protein breakdown in the body. A test can be done to measure the amount of urea in the urine.
A 24-hour urine sample is needed.
For an infant, thoroughly wash the area around the urethra. Open a urine collection bag (a plastic bag with an adhesive paper on one end), and place it on the infant. For males, place the entire penis in the bag and attach the adhesive to the skin. For females, place the bag over the labia. Diaper as usual over the secured bag.
This procedure may take a couple of attempts -- lively infants can move the bag, causing the urine to be absorbed by the diaper. Check the infant frequently and change the bag after the infant has urinated into it. Drain the urine from the bag into the container provided by your health care provider.
Deliver it to the laboratory or your health care provider as soon as possible upon completion.
No special preparation is needed. If the collection is being taken from an infant, a couple of extra collection bags may be necessary.
The test involves only normal urination, and there is no discomfort.
This test is mainly used to determine a person's protein balance and the amount of dietary protein needed by severely ill patients. It is also used to determine how much protein a person takes in.
Urea is excreted by the kidneys, so excretion of urea can reflect kidney function.
Normal values range from 12 to 20 grams per 24 hours.
The examples above are common measurements for results of these tests. Normal value ranges may vary slightly among different laboratories. Some labs use different measurements or test different samples. Talk to your doctor about the meaning of your specific test results.
Low levels usually indicate:
High levels usually indicate:
There are no risks.
Urine urea nitrogen
Israni AK, Kasiske BL. Laboratory assessment of kidney disease: glomerular filtration rate, urinalysis, and proteinuria. In: Taal MW, Chertow GM, Marsden PA, et al, eds. Brenner & Rector's The Kidney. 9th ed. Philadelphia, PA: Saunders Elsevier; 2011:chap 25.
Updated by: David C. Dugdale, III, MD, Professor of Medicine, Division of General Medicine, Department of Medicine, University of Washington School of Medicine. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M. Health Solutions, Ebix, Inc.
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