ch. 5 pt 2 Flashcards

1
Q

normal color of urine is

A

yellow (either dark or pale depending on concentration)

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2
Q

why is urine yellow

A

urochrome

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3
Q

substances that change urine color

A

blood/myoglobin
bilirubin
porphyrins
melanin
indican
homogentisic acid

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4
Q

blood in urine color

A

pink or red

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5
Q

bilirubin in urine color

A

dark yellow/amber

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6
Q

porphyrins in urine color

A

red/purple

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7
Q

melanin in urine color

A

dark brown/black

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8
Q

indican in urine color

A

blue/green

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9
Q

homogenistic acid in urine colro

A

dark brown/black

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10
Q

ingested substances that change urine color

A

medications, dyes, vitamins, pigmented foods

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11
Q

foam in normal urine

A

produces when shaken and rapidly dissipates

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12
Q

stable white foam indicates

A

large amounts of albumin

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13
Q

yellow foam indicates

A

increased bilirubin

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14
Q

cloudiness in urine

A

suspended particulate matter that scatters light

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15
Q

causes of cloudiness

A

contamination from skin, vaginal secretions, bacterial growth, or fecal material

precipitation of dissolved solutes

RBCs, WBCs, epithelial cells, clots

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16
Q

odor in urine

A

becomes odorous due to bacterial conversion of urea to ammonia

17
Q

ketones produce what odor

A

sweet or fruity smell

18
Q

concentration of urine

A

normally consists of 94% water and 6% solutes

19
Q

specific gravity of urine

A

urine density to density of an equal volume of pure water
–>typically 1.035 - 1.040
–>greater density = greater specific gravity

20
Q

refractometry

A

ratio of light refraction in two differing media
–> number of solutes increasing, decreases light velocity

21
Q

factors that affect refractive index

A

wavelength of light used, temperature of solution, concentration of solution

22
Q

osmolality normal urine values

A

275-900 mOsm/kg

23
Q

principle uses of osmolality

A

evaluate renal concentrating ability of kidneys, monitor renal disease, monitor fluid and electrolyte balance

24
Q

freezing point osmometry

A

pure water freezes at 0 degrees C and adding 1 osmole of solute decreases freezing point by 1.86

25
Q

vapor pressure osometry

A

unable to measure volatile solutes

26
Q

normal volume of urine

A

600 to 1800 mL/day

27
Q

isothernia

A

inability of kidneys to change specific gravity of plasma ultrafiltrate (1.010)

28
Q

polyuria

A

excretion of greater than 3L/day

29
Q

oliguria

A

excretion of less than 400mL/day

30
Q

anuria

A

complete lack of urine