Ketones
Reference
Preparation of Rothera's power
Weight following chemical & mix thoroughly
Sodium carbonate = 20 gm
Ammonium sulfate = 20 gm
Sodium nitroprusside = 1 gm (make fine powder of it with mortar and pastle before mixing)
Sample
Urine
Serum(Blood)
Special instructions for patients
Procedure
Take pinch of powder on a glass surface or a tile or a tile with well in it
Put a drop of sample on powder
Do not take sample more than what powder can absorb.
Observation and interpretation
If purple color observed, ketones are reported as “positive”
If no purple color observed, ketones are reported as “negative”
Read IQC (as shown below) to prevent confusion in detection of color
Internal Quality Control
Frequency of IQC : Whenever sample is received, Both the control (positive and Negative) has to be run along with test.
Preparation of positive control
Prepare pooled serum of 10 ml from OPD sample
Add 10ul Acetone in 10 ml of pooled serum
Give lot number as KP001, KP002,KP003…etc
Fill 50ul in each ependroff cup and seal it with parafilm and labeled as KP001, KP002,KP003…etc
Store ependroff cups in refrigerator at 2-8 ' C.
Preparation of Negative control
Prepare pooled serum of 10 ml from OPD sample
Give lot number as KN001, KN002,KN003…etc
Fill 50ul in each ependroff cup and seal it with parafilm and labeled as KN001, KN002,KN003…etc
Store ependroff cups in refrigerator at 2-8 ' C.
How to do Quality control
Take powder in two wells.
In one well add Positive control
In another well add Negative control.
Note observation in Ketones IQC Sheet
Upload sheet every month in LIS(Docs_Qualitative IQC)
ketone_sheet.ods
External Quality Control
QA Forum sample for Ketone bodies done every 6 monthly.