Urinalysis
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The document provides information and normal values for various components of a urinalysis test. It describes procedures for collecting urine samples, including clean-catch specimens for women and samples from indwelling catheters. The document outlines nursing care for routine urinalysis, including instructing patients, labeling samples, and refrigerating samples if not tested within an hour. It advises reassuring patients of results and discussing implications with their doctor, and following up on certain abnormal findings.
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Urinalysis
- 1. URINALYSIS
- 2. PROCEDURES: Multiple Glass Test Composite Specimen Urine Cultures
- 3. RESULTS OR FINDINGS pH Normal Value: 4.6 – 7.0 Protein Normal value: none or up to 8 mg/100 mL Glucose Normal Value: None Blood Normal value: none Specific Gravity Normal value: 1.0053 – 1.030
- 4. RBCS NORMAL VALUE: UP TO 2/HPF WBCS NORMAL VALUE: 0-2/HPF CASTS NORMAL VALUE: NONE BACTERIA NORMAL VALUE: NONE CRYSTALS NORMAL FINDING: NONE
- 5. NURSING CARE Routine Analysis 1. Instruct the patient to void directly into a clean, dry container. Sterile, disposable containers are recommended. Women should always have a clean-catch specimen if a microscopic examination is ordered. Feces, discharges, vaginal secretions and menstrual blood will contaminate the urine specimen. 2. Cover all specimens tightly, label properly and send immediately to the laboratory. 3. If a urine sample is obtained from an indwelling catheter, it may be necessary to clamp the catheter for about 15-30 minutes before obtaining the sample. Clean the specimen port with antiseptic before aspirating the urine sample with a needle and a syringe. 4. Observe standard precautions when handling urine specimens. 5. If the specimen cannot be delivered to the laboratory or tested within an hour, it should be refrigerated or have an appropriate preservative added.
- 6. AFTER THE URINALYSIS REASSURE THE PATIENT AND TELL HIM THE RESULTS, LET HIM KNOW THAT THE DR. WILL DISCUSS THE IMPLICATIONS OF HIS TESTS RESULTS WITH HIM. IF THERE IS GLUCOSE OR KETONES IN THE URINE THE NURSE CAN DO A BLOOD-GLUCOSE.TO RULE OUT THAT THE PATIENT ISN'T A DIABETIC. PROTEIN IN THE URINE OF A PREGNANT PATIENT CAN BE A SIGN OF PRE-ECLAMPSIA AND SHOULD BE REPORTED TO THE DR. IMMEDIATELY.