Urinalysis Flashcards

1
Q

How should you start a urinalysis?

A
  • introduce self
  • check name & DOB
  • explain procedure
  • gain consent
  • wash hands
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2
Q

How should a urine sample be collected for urinalysis?

A
  • midstream urine collection
  • preventing contamination (clean skin, not touching inside bottle)
  • fresh sample (<2 hours)
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3
Q

What safety checks should be performed prior to performing urinalysis?

A
  • wash hands
  • don apron & gloves
  • check label on sample bottle
  • check expiry date on test strips
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4
Q

What should you look for on inspection of the urine sample?

A
  • colour
  • clarity
  • odour
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5
Q

How should you perform a urinalysis?

A
  • dip stick in urine
  • wait 2 seconds
  • remove
  • tap of excess urine
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6
Q

How do you interpret the results of a urinalysis?

A
  • hold dipstick correctly
  • check results at appropriate time intervals
  • comment on positive and negative findings
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7
Q

How do you end the urinalysis?

A
  • summarise and explain findings
  • dispose of clinical waste
  • wash hands
  • record results
  • thank patient
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8
Q

How should you explain this procedure?

A

“a simple test involving looking at a sample of your urine and testing it with a dipstick
to see if there are any abnormal substances in it”

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9
Q

What may abnormal colour be indicative of?

A
  • dehydration
  • jaundice
  • haematuria
  • pseudomonas infection
  • diet (beetroot/asparagus)
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10
Q

What may abnormal clarity be indicative of?

A
  • infection
  • proteinuria
  • renal stones
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11
Q

What may abnormal odour be indicative of?

A
  • DKA
  • DM
  • Infection
  • Old sample
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12
Q

What is glucose in the sample indicative of?

A

DM

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13
Q

What is bloodin the sample indicative of?

A
  • Menstrual blood
  • trauma
  • nephritic syndrome
  • uteric stones/infection
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14
Q

What is leukocytes in the sample indicative of?

A
  • UTI

- Nephritic syndrome

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15
Q

What is proteins in the sample indicative of?

A
  • nephrotic syndrome
  • renovascular disease
  • pre-eclampsia
  • myeloma
  • prolonged vertical posture
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16
Q

What is nitrates in the sample indicative of?

A
  • UTI
17
Q

What is ketones in the sample indicative of?

A
  • DKA
  • pregnancy
  • starvation
  • phenylketonuria
18
Q

What is bilirubin in the sample indicative of?

A
  • intra-hepatic jaundice

- post hepatic jaundice

19
Q

What is specific gravity indicative of?

A

solute concentration