Urea

Chemical Pathology

Notes

Urea forms part of the standard Acute Unit “U&E” (urea and electrolytes) profile although can also be requested by Primary Care if necessary. Note that urea is not useful as a general test of renal disease; creatinine and eGFR are preferred for this.

Urea may be helpful in suspected pre-renal failure (e.g. fluid depletion or cardiac failure), in monitoring dialysis adequacy, in predicting the severity of acute pancreatitis and in suspected inherited metabolic disease (access the ACB monograph for more details).

Sample requirements

For adults, blood taken into a 5mL gold top gel tube (rust top for the Acute Unit)

For children, blood taken into a 3.5mL rust top gel tube

For neonates, blood taken into a 0.8mL minicollect lithium heparin tube. Please list the tests of particular interest so that some priority can be given to analysis if plasma volumes are small.

Storage/transport

Send at ambient temperature to the laboratory. If unavoidable, samples can be stored refrigerated overnight.

Required information

Relevant clinical details. Site of drain for non-blood or non-urine samples.

Turnaround times

The assays are run throughout the day and night. The in-lab turnaround time is normally less than 24 hours. The test can be ordered as an urgent request.

Reference ranges

Adult reference range for blood urea is 2.5 - 7.8 mmol/L

Further information

To learn more about urea visit Lab Tests Online

Lab Tests Online

or access the urea monograph of the Association for Clinical Biochemistry and Laboratory Medicine.