FINALs LAB: URINALYSIS Flashcards

1
Q

A test of your urine. It’s used to detect and manage a wide range of disorders, such as urinary tract
infections, kidney disease, and diabetes.

A

URINALYSIS

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2
Q

An ultrafiltrate of plasma.

A

URINE

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3
Q

Characteristics of Urine:
Colored somewhat yellow due to the pigment ___ and ____

A

urochrome and solutes

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4
Q

Characteristics of Urine:

A

o Sterile
o Slightly aromatic
o Normal pH: 4.6-8.0; Average pH: 6.0
o Specific gravity of 1.001 to 1.035.

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5
Q

Urine Composition:

A
  • 95% water and 5% solutes
    -Consist of urea and other organic and inorganic chemicals
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6
Q

is the metabolic waste product/major organic substance produced in the liver from
the breakdown of protein and amino acids.

A

UREA

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7
Q

Other organic substances:

A
  • Creatinine
  • Uric Acid
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8
Q

is the major inorganic solid dissolved in urine.

A

CHLORIDE

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9
Q

Other inorganic substances:

A
  • Sodium
  • Potassium
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10
Q

Other substances found in the urine:

A

▪ Hormones
▪ Vitamins
▪ Medication

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11
Q

Urine also contains formed elements:

A

▪ Cells
▪ Casts
▪ Crystal
▪ Mucus
▪ Bacteria

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12
Q

– main determinant of urine volume

A

WATER

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13
Q

FACTORS THAT INFLUENCE URINE VOLUME:

A

▪ Fluid intake.
▪ Fluid loss from nonrenal sources.
▪ Variations in the secretion of ADH.
▪ Need to excrete an increased amount of dissolved solids.

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14
Q

Urine Volume
Normal range (24hrs)

A

600-2000mL

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15
Q

Urine Volume
Average volume (24hrs)

A

1200 – 1500Ml

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16
Q

Recommended capacity of specimen containers is?

A

50 mL

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17
Q

ALL SPECIMENS MUST BE LABELED PROPERLY WITH THE?

A
  • Patient’s Name
  • Identification Number
  • Date and Time of Collection
  • patient’s age
  • physician’s name
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18
Q

REQUISITION FORMS MUST ACCOMPANY SPECIMENS delivered to the laboratory
and the time the specimen is received should be recorded on the form.

TRUE OR FALSE?

A

TRUE

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19
Q

Urine should be brought to the laboratory within?

A

within 1 hour.

20
Q

RECOMMENDED TYPE OF URINE SPECIMEN:

A

MIDSTREAM – CLEAN CATCH SPECIMEN

  • SAFER, less traumatic method of obtaining urine for bacterial culture.
  • Provide patients with appropriate cleansing material, sterile containers, and instructions for cleansing and voiding.
21
Q

Check the color of the urine sample on a ________ with a good light source.

A

WHITE BACKGROUND

22
Q

Check the clarity of the urine sample on a ______________

A

PRINTED WHITE
BACKGROUND

23
Q

The normal odor of freshly voided urine is FAINTLY AROMATIC due to ________

A

volatile acids

24
Q

SPECIFIC GRAVITY
o PROCEDURES

A

▪ Refractometry
▪ Urinometry
▪ Osmolality
▪ Harmonic Oscillation Densitometry
▪ Reagent Strip Specific Gravity

25
URINALYSIS PROCEDURE:
1. Physical Examination 2. Chemical Examination 3. Microscopic Examination
26
Recent fluid consumption WHAT COLOR?
Colorless
27
Polyuria or diabetes insipidus, diabetes mellitus, Diluted random specimen WHAT COLOR?
Pale yellow
28
Normal color of urine WHAT COLOR?
Yellow
29
Concentrated urine WHAT COLOR?
Dark yellow
30
Dehydrated WHAT COLOR?
Amber
31
Bilirubin, acriflavine, pyridium, nitrofurantoin, phenindione WHAT COLOR?
Orange
32
Bilirubin oxidized to biliverdin WHAT COLOR?
Yellow green/yellow brown
33
Pseudomonas infection WHAT COLOR?
Green
34
Clorets, indicant, phenol, methylene blue, robaxin WHAT COLOR?
Blue-green
35
RBCs, hemoglobin, myoglobin, porphyrin, rifampin, menstruation WHAT COLOR?
Pink-red
36
Methemoglobin, homogentisic acid, melanin, argyrols, levodopa, flagyl WHAT COLOR?
Brown/black
37
CLARITY: No visible particulates, transparent.
Clear
38
CLARITY: Few particulates, print easily seen through urine.
Hazy
39
CLARITY: Many particulates, print blurred through urine.
Cloudy
40
CLARITY: Print cannot be seen through urine.
Turbid
41
CLARITY: May precipitate or be clotted.
Milky
42
Manner of Reporting for Epithelial Cell: 0-5 ECs
RARE
43
Manner of Reporting for Epithelial Cell: 5-15 ECs
FEW
44
Manner of Reporting for Epithelial Cell: 15-20 ECs
MODERATE
45
Manner of Reporting for Epithelial Cell: >20 ECs
MANY