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Test Code UOSM Osmolality, Urine

Additional Codes

EPIC LAB4152

Clinical Significance

Of the colligative properties, measurement of the freezing point allows the concentration of an aqueous solution to be easily determined with great precision.

 

The freezing point of pure H2O is precisely +0.010°C. One mole of a non-dissociating solute such as glucose (where the solute does not dissociate into ionic species, but remaints intact), when dissolved in 1 kg of water will depress the freezing point by 1.858°C. This change is known as the freezing point depression constant for water. The freezing point depression also depends upon the degree of dissociation of the solute. If the solute is ionic, the freezing point is depressed by 1.858°C for each ionic species. For example, if one mole of sodium chloride were to completely disssociate into two ionic species (Na+ and Cl-) in 1 kg of water, the freezing point would be depressed by 3.716°C. However, dissociation is never complete. Interference between solute molecules reduces dissociation by a factor called the osmotic coefficient.

 

In a simple solution such as glucose or sodium chloride in water, the freezing point can be measured and the unit concentration easily determined from an equation or a reference table. However, the equation is unique for each solute. In a more complex situation, all ionized and non-dissociative species contribute to the freezing-point depression and the concentration of each solute cannot be easily determined. Each of the colligative properties has a similar problem, and though each of the colligative properties changes in direct proportion to the solute concentration, each requires a different mode & unit of measurement. Osmolality is a common unit of concentration measurement that can be used to relate all the colligative properties to each other, and to other concentration units. Because of is universality, most osmometry applications regularly use osmolality, expressed as "mOsm/kg H2O", as the common unit of concentration rather than applying further conversion factors.

 

Source: The Advanced Micro-Osmometer Model 3300 User's Guide, Advanced Instruments, part no. 3305 Rev6 121301. 2001.

Methodology

Freezing-point depression (Advance Micro-Osmometer 3300)

Sample Type

  • Urine

Specimen Minimum Volume

0.5 mL

Specimen Stability

Temperature Time
Ambient (18-25°C) 24 hours
Refrigerated (2-8°C) (store) 48 hours
Frozen (-15 to -20°C) 7 days

NOTE: Fresh samples are preferred because osmotic balance can change rapidly within the patient and an older sample may not be a good indicator of the patient's current status.

Reference Ranges

Normal Range
400 - 600 mOSM/kg

 

Rejection Criteria

Hemolysis N/A
Icterus N/A
Lipemia N/A

 

Availability

Performed STAT
24/7 Yes

 

Performing Laboratory

Multicare Yakima Memorial Hospital Laboratory

Lab Department

Chemistry

CPT Code

83935

 

LOINC

2695-5 Osmolality (U) [Osmolality]