Description

Shaw et al developed an equation for calculating the total urine solutes. This can be helpful in situations such as infant feeding. The authors are from University College Hospital in London.


 

The molecular weight of urea is 60.06 g. 1 gram of urea = 16.65 mmol.

Convert a measurement of urea nitrogen to urea (multiply mg/dL urea nitrogen by 0.357 to get urea in mmol/L)

 

Specimen: 24-hour urine

 

Parameters:

(1) urea excretion in mmol/day

(2) sodium excretion in mmol/day

(3) potassium excretion in mmol/day

(4) ammonia excretion in mmol/day

(5) measured urine osmolality (in mOsm per kilogram water)

 

excretion per day =

= (concentration in mmol/L) * (liters of urine per day)

 

urine solute load in mOsm/day =

= (urea) + (2 * (sodium)) + (2 * (potassium)) + (2 * (ammonia))

 

The estimated urine solute load should be close to the measured urine osmolality.

 

The accuracy of the calculation depends on having an accurate 24-hour urine.

 


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