Introduction to Urinalysis Flashcards

1
Q

Aqueous solution of various organic and inorganic substances

A

Urine

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Substance may be either waste products resulting from body metabolism or products derived directly from the food eaten resulting from metabolism.

A

Urine

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Urine is composed of ___ % water and ____% solids

A

95, 5

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Why choose urine for urinalysis?

A

● It is readily available and easily collected.
● Contains information about the body’s major metabolic functions
● Inexpensive laboratory testing can be performed.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Why choose urine for urinalysis?

A

● It is most useful in ascertaining evidence of disease or disturbing function
of the kidneys
● Pathological lesion of the ureters, bladder or urethra
● In male, lesion of the prostate and seminal vesicles.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

primary organic component. product of protein and amino acid metabolism

A

urea

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

product of creatine metabolism by muscles

A

creatinine

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

product of nucleic acid breakdown in food and cells

A

uric acid

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

primary inorganic component. found in combination with sodium (table salt) and mant other inorganic substances

A

chloride

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

primarily from salt varies by intake

A

Sodium

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Combined with chloride
and other salt

A

Potassium

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Combines with sodium
to buffer the blood

A

Phosphate

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Regulates blood and
tissue fluid acidity

A

Ammonium

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Combines with chloride,
sulfate, and phosphate

A

Calcium

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Routine Screening

A

Random

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Routine screening
Pregnancy tests
Orthostatic protein

A

First Morning

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Quantitative chemical
tests

A

24-hour (or timed)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Bacterial culture

A

Catheterized

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Routine screening
Bacterial culture

A

Midstream clean-catch

20
Q

Bladder urine for
bacterial culture
Cytology

A

Suprapubic aspiration

21
Q

Prostatic infection

A

Three-glass collection

22
Q

Does not interfere with
chemical tests
Precipitates amorphous
phosphates and urates
Prevents bacterial growth
for 24 hours2

A

Refrigeration

23
Q

Prevents bacterial growth and
metabolism

A

Boric acid

24
Q

Interferes with drug and
hormone analyses

A

Boric acid

25
Keeps pH at about 6.0 Can be used for urine culture transport
Boric acid
26
Excellent sediment preservative Acts as a reducing agent, interfering with chemical tests for glucose, blood, leukocyte esterase, and copper reduction Rinse specimen container with formalin to preserve cells and casts
Formalin (formaldehyde)
27
Is a good preservative for drug analyses Inhibits reagent strip tests for glucose, blood, and leukocytes
Formalin (formaldehyde)
28
Convenient when refrigeration not possible Have controlled concentration to minimize interference
Commercial preservative tablet
29
Check tablet composition to determine possible effects on desired tests
Commercial preservative tablet
30
Contains collection cup, transfer straw, culture and sensitivity (C&S) preservative tube, or UA tube
Urine Collection Kits4 (Becton, Dickinson, Rutherford, NJ)
31
Sample stable at room temperature (RT) for 48 hours; prevents bacterial growth and metabolism Do not use if urine is below minimum fill line Preservative is boric acid, sodium borate and sodium formate. Keeps pH at about 6.0
Light gray and gray C&S tube
32
Use on automated instruments Must refrigerate within 2 hours Round or conical bottom, no preservative
Yellow UA Plus tube
33
Stable for 72 hours at RT; instrument-compatible Must be filled to minimum fill line. Bilirubin and urobilinogen may be decreased if specimen is exposed to light and left at RT Preservative is sodium propionate, ethyl paraben, and chlorhexidine; round or conical bottom
Cherry red/yellow Preservative Plus tube
34
Modified/darkened, Oxidation or reduction of metabolites
Color
35
Decreased, Bacterial growth and precipitation of amorphous material
Clarity
36
Increased, Bacterial multiplication causing breakdown of urea to ammonia
Odor
37
Increased, Breakdown of urea to ammonia by urease-producing bacteria/loss of CO2
pH
38
Decreased, Glycolysis and bacterial use
Glucose
39
Decreased, Volatilization and bacterial metabolism
Ketones
40
Decreased, Exposure to light/photo oxidation to biliverdin
Bilirubin
41
Urobilinogen, Oxidation to urobilin
Urobilinogen
42
Increased, Multiplication of nitrate-reducing bacteria
Nitrite
43
Decreased, Disintegration in dilute alkaline urine
Red and white blood cells and casts
44
Increased, Multiplication
Bacteria
45
Decreased, Loss of motility, death
Trichomonas