S1 [LAB]: CHEMICAL EXAM OF URINE Flashcards
Testing using reagent strip is performed within ___ after collection
1 hour
Normal pH level of urine
4.5
Optimal temperature for reagent strip storage
below 30C
T/F: Distilled water is used as a negative control in reagent strip
F
pH level of first morning urine
slightly acidic (5-6)
pH level of urine following a meal
alkaline
T/F: An unpreserved urine specimen does not reach pH 9
T
Indicator of pH in a reagent strip
methyl red & bromthymol blue
Reflects the kidneys’ role of compensating against acidosis
Urine pH
Range detected by the pH indicator in the reagent strip
5-9
Samples left standing can have falsely ___ pH as CO2 is lost and bacterial growth produces ammonia from urea
elevated
Reagent strips are only sensitive to this specific protein
Albumin
In respiratory and metabolic acidosis, the urine is expected to be ___
Alkaline
pH level associated with unpreserved specimen
9
The most indicative of renal disease
Protein
Often associated with early renal disease
Protein
The most frequent chemical analysis on urine
Glucose
For the detection & diabetes mellitus monitoring
Glucose
Most valuable in management & monitoring of type-1 DM
Ketones
A deficiency in insulin, indicating the need to regulate dosage (insufficient insulin dosage)
Ketonuria
___ RBCs per microliter of urine is considered clinically significant
> 5
___ provide the most accurate means for determining presence of blood
Hemoglobin testing
Heme-containing protein found in muscle tissue
Myoglobin
Myoglobin produces a clear ___ urine
red-brown
The ____ portion of myoglobin is toxic to the renal tubules; high concentrations can cause acute renal failure.
heme
Primary test for dx, monitoring bacterial infection & evaluate the success of antibiotic
Nitrite