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Flashcards in UA and Wet Prep Deck (54)
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1

Who should get a UA?

- Anyone with urinary symptoms
- Abdominal Pain
- Vaginal Complaints
- Back Pain
- Fever
- Dizziness
- HTN
- DM

2

Results of the UA will see?

1. Macroanalysis (Gross Description)
2. Chemical Analysis (Dipstick)
3. Microanalysis

3

Results from the Macroanalysis part of the UA

- Color
- Odor (rarely reported)
- Turbidity (clear, cloudy, opaque, etc.)

4

Results from the Dipstick Test part of the UA

- Glucose
- Bilirubin
- Urobilinogen
- Ketones
- Blood
- Leukocytes
- Nitirie
- Protein
- Specific Gravity
- pH

5

Results of the Microanalysis part of the UA

- Bacteria
- WBC
- RBC
- Crystals
- Casts (Hyaline, RBC, WBC)

6

What might an abnormality indicate if seen in:

Glucose of Dipstick Analysis

> 180 mg/dL = Positive

Indicated Elevated Blood Sugar

7

What might an abnormality indicate if seen in:

Bilirubin of Dipstick Analysis

Blue or Green Colored Urine

Intrahepatic Cholestasis (or other Liver/Bile Duct issue)

8

What might an abnormality indicate if seen in:

Urobilinogen of Dipstick Analysis

By itself = Hemolytic Process

With Bilirubin = Cirrhosis

9

What might an abnormality indicate if seen in:

Ketones of Dipstick Analysis

Indicates Abnormal Carbohydrate Metabolism

- With Glucose = DKA (DM I)
- Starvation/Dehydration
- No Carb Diets

10

What might an abnormality indicate if seen in:

Blood of Dipstick Analysis

Sensitive for Myoglobin, Hemoglobin, or RBC. Need Microanalysis for more information.

False Positive: Too much Vitamin C

11

What might an abnormality indicate if seen in:

Leukocytes of Dipstick Analysis

Indicates Pyuria (UTI)

12

What might an abnormality indicate if seen in:

Nitrite of Dipstick Analysis

Indirect Indicator of UTI

** E. coli, Enterobacter, Proteus (common UTI pathogens) convert Nitrate to Nitrite.

13

What might an abnormality indicate if seen in:

Protein of Dipstick Analysis

- Sometimes caused by Fever or Exercise
- Tubular Dz
- Diabetic Nephropathy
- HTN Nephropathy
- Glomerulonephritis

14

What might an abnormality indicate if seen in:

Bacteria of Microanalysis

UTI

15

What might an abnormality indicate if seen in:

WBC of Microanalysis

Pyuria (UTI)

16

What might an abnormality indicate if seen in:

RBC of Microanalysis

- Might be present during Menses
- Kidney Stone
- UTI
- Bladder Cancer

Ref to Uro?

17

What might an abnormality indicate if seen in:

Casts of Microanalysis

Benign

Commonly seen in patients who exercise a lot.

18

What might an abnormality indicate if seen in:

WBC Casts of Microanalysis

Pathomnemonic for Pyelonephritis

19

What might an abnormality indicate if seen in:

RBC Casts of Microanalysis

Patho mnemonic for Glomerulonephritis

20

When to order Microanalysis?

Positive Blood, Leuks, Nitrite, and/or Protein

21

If the patient is on _____, what will happen to the Dipstick Analysis? What should you do next?

Azo; Alter; Move straight to Microanalysis Results

22

More Alkaline Urine would indicate:

- UTI
- Drug Use
- Resp or Metabolic Alkalosis
- Vegetarians

23

More Acidic Urine would indicate

- Drug Use

24

If the urine specific gravity is high, then what are you thinking?

Dehydration

25

If a kidney stone is less than _____ cm, then we expect it to pass on its own.

7

26

Benefit of the CT Scan for Kidney Stones

- Size of stone
- Hydronephrosis?

27

How do you treat a pt with Kidney Stones?

Treat Pain and Nausea!!
- Toradol
- Narcotics (Morphine, Dilaudid)
- Fluids

28

If a CT Scan is completed and there is an obstructed Kidney Stone, what should we order/check?

Creatinine Levels to see how the Kidney is doing

29

When a geriatric patient comes in with acutely altered mental status with or without fever, what should you think?

UTI

30

How do you treat a geriatric patient with UTI?

- Nitrofurantin
- Bactrim
- Macrobid
- Fluoroquinolones