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PERFORMANCE CHECKLIST

ACETIC ACID TEST

NOT
PROCEDURE DONE SCORE
DONE
1. Assess the patient’s need for acetic test 2

2. Identify the patient and explain the procedure 3

3. Do hand washing 2

4. Prepare the materials to be used (Acetic acid 5%


5
solution, Test Tube, Test tube holder, alcohol
lamp)
5. Fill the test tube ½ full of urine. 5

6. Heat the center part of the test tube over flame 5


bringing the specimen to boiling point.
7. Hold test tube against the light and examine for 5
cloudy ring
8. Add 3 – 5 drops of acetic acid if there is a ring. 5

9. Heat the solution again 3

10. Note the result


No albumin – cloudiness disappears becomes
colorless
With albumin –cloudiness remains 3
Trace = top liquid is opaque
(+1) – (+2) Albumin = cloudy
(+3) – (+4) albumin = Ring is white resembling
white of an egg.
11. Clean the materials used 2

12. Do hand washing. 2

TOTAL 50

Name: ____________________ Score: _______________


Section: ___________________ Date: _______________
Instructor:__________________

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