Chp 34- Urinary Fx Assessement & Tests Flashcards
Subjective assessment of Urinary Fx
-Identify pt normal urinary pattern
(how often? how much? in the night?)
- Dysfunction identification
(Hx of urinary problems, etc)
Objective assessment of Urinary fx
I&O - look for trends
Color of urine
Physical Exam (Percussion/Palpation)
the amount of urine left in the bladder after urination
post void residual
How to perform a post void residual
Patient uses bathroom regularly, then gets straight cath or bladder scanner once back in bed
a urine sample collected at any time of day without special preparation; non sterile, can come from urinal, bedpan, etc; should not be contaminated w/ feces or tissue
random specimen
a urine sample collected in the middle of urination; used to get specimen relatively free of microorganisms is required; sterile cup used
clean catch/ midstream specimen
a urine sample collected over a 24-hour period to check kidney function and diagnose various conditions
24 hr specimen
Urine should NEVER be collected from where?
Catheter drainage bag
test used to measure patients hydration status
Specific gravity
Normal 1.010 - 1.020
High SG- urine concentrated
Low SG- clear, very light urine
a set of tests that looks at the appearance of your pee (urine) and checks for blood cells, proteins and other substances in it
urinalysis
determines which antibiotic will be most effective against a bacterial or fungal infection
culture and sensitivity
test used to check the levels of various substances in urine to help diagnose or rule out a number of conditions:
urine dip stick
Blood tests are used to check for …
Ex of tests:
Renal diseases
Ex: BUN
Creatinine
When kidneys have diseased, what are they unable to excrete adquately?
Urea, leading to Urea buildup
Normal range of BUN
8-25 mg per 100 mL
