Measuring Urine Output (ASAN002/22)

Question 1

Measuring Urine Output

Answer 1

Urine production should be measured frequently & calculated to mls/kg/hr.\nAllows us to monitor if fluid therapy is sufficient & renal function is normal.\nUrine collection can be done in several ways. \nMust always be done in an aseptic manner.

Question 2

Urine Collection – Option 1:\nEquipment

Answer 2

Equipment:\nGloves\nLarge bore sterile needle\nLarge sterile syringe\nChlorhex & metho swabs

Question 3

Urine Collection – Option 1: \nProcedure

Answer 3

Procedure:\nWash hands & wear gloves\nSwab port of fluid bag\nUse needle & syringe to drain urine from bag\nSwab port\nTransfer urine to container & measureDo not close the ‘roller ball’ of giving set

Question 4

Urine Collection – Option 2:\nEquipment

Answer 4

Equipment:\nGloves\nHaemostats\nChlorhex & metho swabs\nContainer

Question 5

Urine Collection – Option 2:\nProcedure

Answer 5

Procedure:\nWash hands & wear gloves\nClamp giving set with haemostats\nRemove collection bag\nWrap ‘spike’ in chlorhex/metho swab\nPour urine into container\nReplace spike in port\nRemove haemostats\nApply fresh swab to fluid bag connection

Question 6

Calculation of Urine Production

Answer 6

https://images.cram.com/images/upload-flashcard/99/06/96/35990696_m.png

Question 7

Urine production calculation example:

Answer 7

https://images.cram.com/images/upload-flashcard/99/06/97/35990697_m.png

Question 8

Normal Urine Output:

Answer 8

1 – 2 mls/kg/hr\n\n\nOliguria = <0.27ml/kg/hr\nAnuria = <0.08ml/kg/hr