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Ch. 44
Urinalysis
Question | Answer |
---|---|
anuria | absence of urine production |
dysuria | painful or difficult urination |
glucosuria | presence of glucose in urine |
hematuria | presence of blood in the urine |
ketonuria | presence of ketones in urine |
nocturia | excessive urination during the night |
oliguria | decrease in the amount of urine formation |
polyuria | increase in the amount of urine formed and excreted |
proteinuria | presence of protein in urine |
renal threshold | concentration at which a substance in the blood not normally excreted by the kidneys begin to appear in the urine |
specific gravity | weight of a substance compared with an equal amount of water |
turbid | degree of cloudiness |
describe characteristics of urine | 95% water and 5% is made up of organic and inorganic substances |
random urine specimen | used for routine urinalysis screening; not recommended for cultures |
first morning urine specimen | yields most concentrated type of specimen and is best for pregnancy tests and routine urinalysis |
clean catch midstream urine specimen | used for urine cultures and routine urinalysis |
24 hour urine testing | used for quantitative chemical analysis |
catheterized urine specimen | best for cultures and maybe used for cytology |
suprapubic aspirate specimen | involves collecting aspirate from the urinary bladder by introducing a syringe directly into the bladder; sometimes performed on pediatric pts |
kidneys | filter waste materials from the blood; regulate water, electrolyte, and acid-base content of the blood; excrete urine |
ureters | carry urine from kidneys to the urinary bladder |
urinary bladder | receptacle for urine; receives urine from the kidneys via the ureters and discharges urine from the body through the urethra |
urethra | discharges urine from the bladder to outside the body |
normal color of urine | pale yellow, amber, straw yellow |
abnormal color of urine | orange, red, brown, milky |
normal specific gravity | 1.005-1.03 |
normal ph | 4.5-8.0 |
cause of an acidic pH | acidosis, diabetes mellitus, or starvation |
cause of an alkaline pH | may indicate a UTI |
temporary increase in protein | fever, stress, or strenuous exercise |
chronic increase in protein | renal failure or other renal conditions |
presence of ketones | starvation, high fat diet, pregnancy, uncontrolled diabetes mellitus |
high levels of bilirubin | liver damage or obstructions, hepatitis, or cirrhosis |
high levels of urobilinogen | biliary obstruction, cirrhosis, heart failure, or excessive RBC destruction |
presence of blood | trauma to the kidneys, UTI, and kidney stones |
presence of hemoglobin | transfusion reaction, hemolytic anemia, arsenic poisoning, or malaria |
presence of nitrite | bacteria and possible UTI |
presence of WBC | UTI |
orange or brownish color | possible liver disease |
red or reddish | UTI, trauma, or a renal disorder |
milky | possibly fat globules or a UTI |
what are some foods that can change the color of urine | carrots (orange), beets (red), blackberries (red) |
what are some vitamins that can change the color of urine | C (bright yellow or orange) and B (bright yellow or orange) |
what are some medications that can change the color of urine | antibiotics (yellowish-brown), rifampin (reddish orange), phenazopyridine (reddish orange) |