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CLS 1113
Introduction to Clinical Laboratory Practices
Specific Gravity
The Reagent Test Strip
Specific Gravity (Chapter 5&6)
S.G. is a measure of the density (weight) of dissolved particles in
the urine
Assesses the kidneys ability to reabsorb water and
essential minerals
Also shows patient hydration
Weight of urine / Weight of water
Specific Gravity
Normal range 1.005 to 1.025
SG <1.002 or >1.040 are not physiologically possible
Measured by reagent test strip or refractometer
Interference with SG tests
Glucose and Protein are actively REABSORBED in the nephron.
Their presence has nothing to do with the concentrating ability of
the kidney.
If they are present in large amounts, they must be corrected for.
For each gram/deciliter of protein subtract .003 from the specific
gravity.
For each gram/deciliter of glucose subtract .004 from the specific
gravity.
Example:
2
gm/dl Glucose - .008
3
gm/dl Protein - .009
Specific
Gravity = 1.052
Correction -
.017
Corrected
SG = 1.035
Specific Gravity
High S.G.
dehydration
high levels of glucose or protein
x-ray contrast media or dye