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Male urinary system
Male urinary system


Sodium - urine

Definition:

The sodium urine test measures the amount of sodium in urine.



Alternative Names:
Urinary 24 hours sodium; Urine Na+

How the test is performed:

Urine may be collected over a 24-hour period or by the "clean-catch" method. The urine is then analyzed by a laboratory.

If a 24-hour urine sample is needed, your health care provider will instruct you, if necessary, to discontinue drugs that may interfere with the test.

  • On day 1, urinate into the toilet when you get up in the morning.
  • Afterwards, collect all urine in a special container for the next 24 hours.
  • On day 2, urinate into the container when you get up in the morning.
  • Cap the container. Keep it in the refrigerator or a cool place during the collection period. Label the container with your name, the date, the time of completion, and return it as instructed.

Collect a "clean-catch" (midstream) urine sample. To obtain a clean-catch sample, men or boys should clean the head of the penis. Women or girls need to wash the area between the lips of the vagina with soapy water and rinse well. As you start to urinate, allow a small amount to fall into the toilet bowl to clear the urethra of contaminants. Then, put a clean container under your urine stream and catch 1 to 2 ounces of urine. Remove the container from the urine stream. Cap and mark the container and give it to the health care provider or assistant

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 boys, the entire penis can be placed in the bag and the adhesive attached to the skin. For girls, the bag is placed over the labia. Diaper as usual over the secured bag.

This procedure may take a couple of attempts. The infant should be checked frequently and the bag changed after the infant has urinated into the bag. The urine is drained into the container for transport to the laboratory.

Deliver it to the laboratory or your health care provider as soon as possible upon completion.



How to prepare for the test:

No special preparation is necessary for this test, but if the collection is being taken from an infant, a couple of extra collection bags may be necessary.

The health care provider may advise you to discontinue drugs that can affect the test (see Special Considerations).



How the test will feel:

The test involves only normal urination, and there is no discomfort.



Why the test is performed:

The test is often used to determine hydration status and the kidney's ability to conserve or excrete sodium.

Aldosterone (see the aldosterone test), a hormone produced by the adrenal gland, plays a major role in regulating sodium levels within the body and urine. Specifically, aldosterone increases the reabsorption of sodium in the kidneys at the expense of potassium and hydrogen loss.

Reabsorption of sodium helps retain water in body tissues and the blood stream. This way, aldosterone helps maintain plasma volume and blood pressure. Dehydration and conditions that decrease kidney blood flow stimulate aldosterone production.




Review Date: 2/3/2006
Reviewed By: Charles Silberberg, DO, Private Practice specializing in Nephrology, Affiliated with New York Medical College, Division of Nephrology, Valhalla, NY. Review provided by VeriMed Healthcare Network.

The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed physician should be consulted for diagnosis and treatment of any and all medical conditions. Call 911 for all medical emergencies. Links to other sites are provided for information only -- they do not constitute endorsements of those other sites. Copyright 2004 A.D.A.M., Inc. Any duplication or distribution of the information contained herein is strictly prohibited.

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