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# Reaction Rates in Analysis: Test Strips for Urinalysis

## Reaction Rates in Analysis: Test Strips for Urinalysis

Physicians often use disposable test strips to measure the amounts of various substances in a patient’s urine (see the figure below). These test strips contain various chemical reagents, embedded in small pads at various locations along the strip, which undergo changes in color upon exposure to sufficient concentrations of specific substances. The usage instructions for test strips often stress that proper read time is critical for optimal results. This emphasis on read time suggests that kinetic aspects of the chemical reactions occurring on the test strip are important considerations.

The test for urinary glucose relies on a two-step process represented by the chemical equations shown here:

$${\text{C}}_{6}{\text{H}}_{12}{\text{O}}_{6}+{\text{O}}_{2}\phantom{\rule{0.2em}{0ex}}\underset{\phantom{\rule{0.2em}{0ex}}\text{catalyst}\phantom{\rule{0.2em}{0ex}}}{\longrightarrow }\phantom{\rule{0.2em}{0ex}}{\text{C}}_{6}{\text{H}}_{10}{\text{O}}_{6}+{\text{H}}_{2}{\text{O}}_{2}$$

$${\text{2H}}_{2}{\text{O}}_{2}+2{\text{I}}^{\text{−}}\phantom{\rule{0.2em}{0ex}}\underset{\phantom{\rule{0.2em}{0ex}}\text{catalyst}\phantom{\rule{0.2em}{0ex}}}{\longrightarrow }\phantom{\rule{0.2em}{0ex}}{\text{I}}_{\text{2}}+{\text{2H}}_{2}\text{O}+{\text{O}}_{2}$$

The first equation depicts the oxidation of glucose in the urine to yield glucolactone and hydrogen peroxide. The hydrogen peroxide produced subsequently oxidizes colorless iodide ion to yield brown iodine, which may be visually detected. Some strips include an additional substance that reacts with iodine to produce a more distinct color change.

The two test reactions shown above are inherently very slow, but their rates are increased by special enzymes embedded in the test strip pad. This is an example of catalysis, a topic discussed later in this tutorial. A typical glucose test strip for use with urine requires approximately 30 seconds for completion of the color-forming reactions. Reading the result too soon might lead one to conclude that the glucose concentration of the urine sample is lower than it actually is (a false-negative result). Waiting too long to assess the color change can lead to a false positive due to the slower (not catalyzed) oxidation of iodide ion by other substances found in urine.

Test strips are commonly used to detect the presence of specific substances in a person’s urine. Many test strips have several pads containing various reagents to permit the detection of multiple substances on a single strip. (credit: Iqbal Osman)