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Serum ketones - Overview

Alternative Names

Acetone bodies; Ketones - serum; Nitroprusside test; Ketone bodies - serum

Definition of Serum ketones:

This test measures the amount of ketones (substances produced when fat cells break down) in the blood.

How the test is performed:

Blood is drawn from a vein, usually from the inside of the elbow or the back of the hand. The site is cleaned with germ-killing medicine (antiseptic). The health care provider wraps an elastic band around the upper arm to apply pressure to the area and make the vein swell with blood.

Next, the health care provider gently inserts a needle into the vein. The blood collects into an airtight vial or tube attached to the needle. The elastic band is removed from your arm. Once the blood has been collected, the needle is removed, and the puncture site is covered to stop any bleeding.

In infants or young children, a sharp tool called a lancet may be used to puncture the skin and make it bleed. The blood collects into a small glass tube called a pipette, or onto a slide or test strip. A bandage may be placed over the area if there is any bleeding.

How to prepare for the test:

Fast for 4 hours before the test.

How the test will feel:

When the needle is inserted to draw blood, some people feel moderate pain, while others feel only a prick or stinging sensation. Afterward, there may be some throbbing.

Why the test is performed:

This test is used to diagnose ketoacidosis.

  • Reviewed last on: 10/31/2007
  • Robert Hurd, M.D., Professor of Endocrinology, Department of Biology, Xavier University, Cincinnati, Ohio, and physician in the Primary Care Clinic, Cincinnati Veterans Administration Medical Center, Cincinnati, Ohio. Review provided by VeriMed Healthcare Network.

References

Cooper HH, Krainik AJ, Lubner SJ, Reno HEL, eds. The Washington Manual of Medical Therapeutics. 32nd ed. Philadelphia, PA: Wolters Kluwer; 2007.