URINE AND OTHER BODY FLUIDS Flashcards
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- A liquid tissue biopsy of the urinary tract
- Painlessly obtained (EASY)
- Yields a great deal of information quickly and economically
URINE
URINE FORMATION:
- Kidney receives:
25% if the total cardiac output
URINE FORMATION:
- Total renal blood flow:
1200ml/min
URINE FORMATION:
- Total renal plasma flow:
600-700 ml/min
URINE COMPOSITION:
- Urine is normally ___ % water and
___ % solutes.
95% , 5%
● Other organic substances:
➢ CREATININE
➢ URIC ACID
is the metabolic waste product produced in the liver from the breakdown of protein and
amino acids.
UREA
- What is the major inorganic solid dissolved in urine
CHLORIDE
★ OTHER INORGANIC SUBSTANCES
● SODIUM
● POTASSIUM
URINE MAY ALSO CONTAIN FORMED ELEMENTS :
- (increase amount is often indicative of disease)
cells, casts, crystals, mucus and bacteria
URINE VOLUME:
- the major body constituent
- main determinant of urine
volume
WATER
Normal range (24hrs) of URINE:
600-2000 mL
❖ FACTORS THAT INFLUENCE URINE VOLUME:
● fluid intake
● fluid loss
● variations in secretions of ADH
Average (24hrs) of URINE:
1200-1500 mL
● Decrease urine output
● <400 mL/day
● Causes: Dehydration
➔ OLIGURIA
● Increase in daily urine volume
● >2.5/day in adults
● >2.5-3 mL/kg/day in children
● Causes: DM, DI, DIURETICS
➔ POLYURIA
● Complete CESSATION of urine flow
● <100 mL/24hrs
● Causes: serious damage to the
kidneys
➔ ANURIA
● Increase in the nocturnal excretion of the urine.
NOCTURIA
SPECIMEN COLLECTION:
- Allow __ mL specimen needed for
microscopic analysis
12
LABELS
● All specimens must be labeled
properly with the patient’s:
name
identification number
date and time of collection
SPECIMEN REJECTION:
● Unacceptable Situations:
- Specimens in unlabeled containers
- Nonmatching labels and requisition forms
- Specimens contaminated with feces or toilet paper
- Containers with contaminated exteriors
- Specimens of insufficient quantity
- Specimens that have been improperly transported
★ SPECIMEN INTEGRITY
● Specimens should be delivered to
the laboratory promptly and tested within ___ hours .
2
★ SPECIMEN INTEGRITY
- A specimen that cannot be
delivered and tested within 2 hours
should be ____________ .
refrigerated
★ SPECIMEN PRESERVATION
- most routinely used method for
preservation.
REFRIGERATION (2°C - 8°C) -