Urinalysis and Hematology Flashcards
Ammonia
increase from proliferation of urease producing bacteria
Bacteria
increase from the in vitro proliferation of bacteria that normally inhabit urethra or prepuce or arise from UTIs or contamination externally; concentration doubles every hour at room temp
Bilirubin
decrease from exposure to light and oxidation at room temp
Casts
increase as a result of alkalization or dilution of urine
Crystals
types and numbers increase or decrease with pH and temp changes (cold temp increases number of crystals)
Erythrocytes
hemolysis caused by dilute or alkaline urine or freezing urine
Gluocse
decreases from metabolism by cells or bacteria or from inhibition of enzymatic reaction on the chemistry strip if the urine is cold
Hemolysis
increases as a result of deterioration of erythrocytes in alkaline or dilute urine blood
Ketones
may increase with presence of bacterial metabolism and volatilization of acetone
Leukocytes
increase with alkalization or dilution of urine or freezing
Nitrites
increase when bacteria convert nitrate to nitrite; decrease when nitrite converted to nitrogen and evaporates
Odor
becomes stronger from the ammonia produced form bacterial metabolism
pH
usually increases alkaline with the presence of urease producing bacteria or loss of carbon dioxide; decreases acidic with the proliferation of non urease producing bacteria and yeasts converting glucose to acids
Proteins
increase from bacteria proliferation, alkalization, contamination with chemicals, some medications, blood substitutes, anesthetics, or elevated body temp; decrease with acidic urine
Turbidity
Develops from presence of bacteria, proliferation of crystals, or precipitation of amorphous material