Care of the Patient with a Urinary Disorder

Question 1

Common substances to monitor for kidney function

Answer 1

-urea
-total urine protein
-creatinine
-uric acid levels
-catecholamines

Question 2

What causes lowering of these levels?

Answer 2

alcohol, glomerulonephritis

Question 3

How to collect a 24-hour urine specimen?

Answer 3

-discard first void
-note time at beginning of collection
-next 24 hrs, collect and place in opaque container
-stored on ice

Question 4

How to interpret Specific Gravity?

Answer 4

-low levels indicate that the patient is taking in a lot of fluids, could also be from diabetes insipidus, diuretic use
-high levels show dehyrdation from diabetes mellitus, DKA, vomiting, etc

Question 5

How do I determine BUN levels?

Answer 5

-if elevated, pt is dehydrated, heart disease, high protein diet
-if elevated, monitor for seizures, disorientation
-normal range: 7-20mg/dL

Question 6

How to obtain a Clean-Catch specimen?

Answer 6

Female:
-remove lid don’t touch inside of container
-place lid upside down on counter
-sit on toilet
-clean with swabs front to back
-collect 1 oz
DOCUMENT: time,type of specimen,sent to lab,pt response

Question 7

How do I determine Postvoid Residual Volume?

Answer 7

-ultrasound device
-catheterization
-less than 50 ml should remain unless older adults who may have 100ml

Question 8

Normal Lab values

Answer 8

Hgb: 14-18
Hct: 40-50%
WBCs: 4800-11,000