ch. 5 pt 2 Flashcards
normal color of urine is
yellow (either dark or pale depending on concentration)
why is urine yellow
urochrome
substances that change urine color
blood/myoglobin
bilirubin
porphyrins
melanin
indican
homogentisic acid
blood in urine color
pink or red
bilirubin in urine color
dark yellow/amber
porphyrins in urine color
red/purple
melanin in urine color
dark brown/black
indican in urine color
blue/green
homogenistic acid in urine colro
dark brown/black
ingested substances that change urine color
medications, dyes, vitamins, pigmented foods
foam in normal urine
produces when shaken and rapidly dissipates
stable white foam indicates
large amounts of albumin
yellow foam indicates
increased bilirubin
cloudiness in urine
suspended particulate matter that scatters light
causes of cloudiness
contamination from skin, vaginal secretions, bacterial growth, or fecal material
precipitation of dissolved solutes
RBCs, WBCs, epithelial cells, clots
odor in urine
becomes odorous due to bacterial conversion of urea to ammonia
ketones produce what odor
sweet or fruity smell
concentration of urine
normally consists of 94% water and 6% solutes
specific gravity of urine
urine density to density of an equal volume of pure water
–>typically 1.035 - 1.040
–>greater density = greater specific gravity
refractometry
ratio of light refraction in two differing media
–> number of solutes increasing, decreases light velocity
factors that affect refractive index
wavelength of light used, temperature of solution, concentration of solution
osmolality normal urine values
275-900 mOsm/kg
principle uses of osmolality
evaluate renal concentrating ability of kidneys, monitor renal disease, monitor fluid and electrolyte balance
freezing point osmometry
pure water freezes at 0 degrees C and adding 1 osmole of solute decreases freezing point by 1.86
vapor pressure osometry
unable to measure volatile solutes
normal volume of urine
600 to 1800 mL/day
isothernia
inability of kidneys to change specific gravity of plasma ultrafiltrate (1.010)
polyuria
excretion of greater than 3L/day
oliguria
excretion of less than 400mL/day
anuria
complete lack of urine