Creatinin

Representative Method Although each chemical kinetic method has its own unique considerations, the determination of creatinine in urine based on the kinetics of its reaction with picrate provides an instructive example of a typical procedure. 

Description of Method. Creatine is an organic acid found in muscle tissue that supplies energy for muscle contractions. One of its metabolic products is creatinine, which is excreted in urine. Because the concentration of creatinine in urine and serum is an important indication of renal function, rapid methods for its analysis are clinically important. In this method the rate of reaction between creatinine and picrate in an alkaline medium is used to determine the concentration of creatinine in urine. Under the conditions of the analysis, the reaction is first-order in picrate, creatinine, and hydroxide. 

Procedure. Prepare a set of external standards containing 0.5 g/L to 3.0 g/L creatinine (in 5 mM H2SO4) using a stock solution of 10.00 g/L creatinine in 5 mM H2SO4. In addition, prepare a solution of 1.00 x 10 M sodium picrate. Pipet 25.00 mL of 0.20 M NaOH, adjusted to an ionic strength of 1.00 M using Na2S04, into a thermostated reaction cell at 25 °C. Add 0.500 mL of the 1.00 x 10 M picrate solution to the reaction cell. Suspend a picrate ion-selective electrode in the solution, and monitor the potential until it stabilizes. When the potential is stable, add 2.00 mL of a... 

Since the reaction is carried out under conditions in which it is pseudo-zero-order in creatinine and OH , the rate constant, k, is... 

This experiment includes instructions for preparing a picrate ion-selective electrode. The application of the electrode in determining the concentration of creatinine in urine (which is further described in Method 13.1) also is outlined. 

OSHA has set a standard to keep blood levels in the occupational work force below 40 //g/dL. ACGIH has set a goal relating to a biological exposure index of 50 //g/dL for lead in blood and 150 pjgjdL creatinine for lead in urine. 

Creatinine The most widely used creatinine methods are based on reaction between creatinine and picrate ions formed in an alkaline medium. 

SuperchlorinationShock Treatment. Superchlorination or shock treatment of pool water is necessary since accumulation of organic matter, nitrogen compounds, and algae consumes free available chlorine and impedes disinfection. Reaction of chlorine with constituents of urine or perspiration (primarily NH" 4, amino acids, creatinine, uric acid, etc) produces chloramines (N—Cl compounds) which are poor disinfectants because they do not hydrolyze significantly to HOCl (19). For example, monochloramine (NH2CI) is only 1/280 as effective as HOCl against E. coli (20). 

Urea (24), amino acids (25), and creatinine (26) are also decomposed during superchlorination or shock treatment, with formation of N2 and other oxidation products. However, the process is slower than with ammonium ion (see Chloramines and BROMAMINEs). Urea is the principal nitrogen-containing compound in swimming pools. Since it is an amide, it reacts slowly with chlorine, yielding N2, NCl, and NO/ (27). 

Hypochlorous acid reacts very rapidly and quantitatively with a slight excess of free ammonia forming monochloramine, NH2CI, which reacts at a slower rate with additional HOCl forming dichloramine, NHCI2. Trichloramine is formed when three moles of HOCl are added per mole of ammonia between pH 3—4 (100). Hypochlorous acid in the form of chlorine or hypochlorite is used in water treatments to oxidize ammonia by the process of break-point chlorination, which is based on formation of unstable dichloramine. The instabiHty of NHCI2 is caused by presence of HOCl and NCl (101,102). The reaction is most rapid at a pH of about 7.5 (103). Other nitrogen compounds such as urea, creatinine, and amino acids are also oxidized by hypochlorous acid, but at slower rates. Unstable iV-chloro compounds are intermediates in deammination of amino acids (104,105). 

In some patients with IgA nephropathy (IgAN), intraglomerular coagulation plays a role in depositing fibrinogen (235,236). IgAN patients treated with urokinase show a marked improvement in urinary protein concentration, semm creatinine, and blood urea nitrogen levels (237). 

Creatine (HjO) (V-guanidino-V-methylglycine) [6020-87-7] M 131.1, m 303°, pK 2.63, pKj 14.3. Likely impurities are creatinine and other guanidino compounds. Crystd from water as monohydrate. Dried under vacuum over P2O5 to give anhydrous material. 

ANILINE Total p-aminophenol in urine End of shift 50 mg/g creatinine Ns... 

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