Lab exam 2 Flashcards
What are the primary ways of acquiring urine samples
Free catch of a voided sample, bladder expression, catheterization, and cystocentesis
Can various methods of collection determine what is found during microscopic examination
Yes
What are the disadvantages of free catch
Patient dependent and lack of opportunity
What are things you can see in free catch samples on microscopic examination
Bacterial contamination, squamous epithelial cells, and debris
What is a disadvantage to urinary catheterization
Risk of trauma
What things can you see in a urinary catheterization sample on a microscopic example
Transitional epithelial cells, squamous epithelial cells, and RBCs if traumatic
What is the disadvantage of performing a cystocentesis
It can potentially cause trauma to the bladder or other internal organs
What could you see in a sample of a cystocentesis on a microscopic examination
RBCs
What form of urine collection is preferred for a culture and sensitivity
Cystocentesis
What are the 4 steps of a complete urinalysis
Gross examination, chemical analysis, specific gravity, and microscopic examination
How long from collection can a sample be left out before it needs to be refrigerated
1 hour
What happens if you refrigerate a urine sample for too long
Crystals form and cells can become distorted
What happens if you dont refrigerate the sample quickly enough
Bacteria grow and cells begin to breakdown
What are the aspects of the gross exam for a urinalysis
Volume, color, clarity, and odor
Why are varying degrees of yellow urine
Due to the urochromes
What does pale yellow urine indicate
Normal or decreased concentration
What does dark yellow urine indicate
It is highly concentrated
What does brown-green urine indicate
Bile is present
What does red-brown urine indicate
Hemoglobinuria or hematuria
What does brown urine indicate
Myoglobinuria
What does orange urine indicate
Medication or bilirubin increase
What does milky urine indicate
Purulent
What are the varying transparencies urine can be
Clear, slightly cloudy, cloudy, turbid, flocculent
What is flocculent
Flotting material in the urine