II. Indication

  1. Confirmation of proteiunuria on Urine Protein dipstick
  2. Replaced with Urine Protein to Creatinine Ratio

III. Efficacy

  1. Highly sensitive for Urine Protein
  2. Detects light chain proteins

IV. Technique

  1. Urine mixed with 20% Sulfosalicylic Acid (SSA)
  2. Variation in results may be as much as 20%
  3. Urine turbidity measured with photometer (increased turbidity with precipitated protein)
    1. Turbidity reported as trace to 4+

V. Interpretation: Positive Test

VI. Interpretation: False positive causes

  1. Radiographic contrast agents (in last 3 days)
  2. Tolbutamide
  3. Penicillins
  4. Sulfisoxazole

VII. Interpretation: Negative Test

  1. False Proteinuria
  2. Renal Tubules not reabsorbing

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