Shared Flashcard Set

Details

Urinalysis
UA breakdown
19
Nursing
Graduate
11/15/2014

Additional Nursing Flashcards

 


 

Cards

Term
color
Definition
- clear yellow = dehydration
- deep yellow = bilirubin
- dark brown, tea color = porphyria
- red = hemoglobinuria, myoglobinuria, rifampin, pyridium
- turbid white = pyuria, crystalluria, bacteruria
Term
Specific Gravity
Definition
1.010 - 1.030
Term
Hemoglobin
Definition
- Trace to 1+ corresponds to 5,000 to 10,000 RBCs/ml (if truly positive)

- Positve dipstick RBC/HPF false +

- Negative microscopy despite positive dipstick indicates hemoglobinuria or myoglobinura or dehydration or exercise
Term
Leukocytes
Definition
- presence means at least 4 wbc/hpf
- normal 0-2
- abnormal - investigate if person has infection
- w/ repetitive negative bacterial culture – may have chronic urethritis, prostatitis (90% due to autoimmune)
Term
Bacteriuria
Definition
- NEGATIVE DIPSTICK DOES NOT EXLUDE BACTERIURIA
Term
***protein
Definition
- Normal = 40-80 mg
- >150 mg in 24 hrs = ABNORMAL (further eval)****
- > 3.5 g/24 hrs = NEPHROTIC RANGE ****
- once it is 800-1000 mg/24 hr, NEED TO REFER
- less than 800, just follow and make sure they're on ACE or ARB
Term
Microalbumin
Definition
- 30-300
- determines earliest stages of diabetic nephropathy (2/3 tests)
- Microalbuminuria >30mg of albumin/gCr
Diabetic nephropathy
- Macroalbuminuria (>300 mg), protein is detected on UA or dipstick + (at least 1+)
Term
Erythrocytes
Definition
- normal = 0-2 RBCs/hpf
- 3 or more = microscopic hematuria
- if 3 or more - WORKUP
Term
supernatant
Definition
- color
- pH
- specific gravity
- glucose
- Hemoglobin
Term
Glucose
Definition
- if present, more than 180 blood glucose, less than that...its not detectable
Term
Hemoglobin****
Definition
normal = 0
o Trace to 1+ = 5,000-10,000 RBCs
o False positive!!! Positive dipstick to negative microscope = dehydration or exercise
Term
Microalbuminuria
Definition
normal = <30
- microalbuminuria = more than 30
- macroalbuminuria = more than 300
- if more than 30 on 2/3 tests, dx w/ diabetic nephropathy
- if more than 300 one time, diagnose w/ diabetic neph
Term
Casts (4)
Definition
- you have to order separate
- Hyaline - I don't care (fever, exercise, and diuretics)
- RBC casts - glomerular bleeding (glomerulonephritis)
- WBC casts - glomerulonephritis or interstitial nephritis
- Granular or waxy - degeneration/ESRD
ABNORMAL = RBCs or WBCs
Term
Leukocytes
Definition
- presence means at least 4 wbc/hpf
- normal 0-2
- abnormal - investigate if person has infection
- w/ repetitive negative bacterial culture – may have chronic urethritis, prostatitis (90% due to autoimmune)
Term
Serum creatinine #s
Definition
Male 0.6-1.2 mg/dl, female 0.5-1.1 mg/dl
- indicator of muscle mass
Term
GFR equation
Definition
Males = GFR= (140-age) x (kg wt.)
--------------------------
(Scr mg/dl) x 72

Females = value for males x 0.85
Term
BUN
Definition
- protein
if high, can be a GI bleed (don’t automatically assume dehydration)
o High – high protein, GI bleed, tissue trauma, steroids, reduction of circulating blood, tetracycline
o Low – malnutrition, liver disease, sickle cell anemia
Term
Creatinine Clearance #s
Definition
Males 97-137ml/min/1.73m sq
Females 88-128ml/min/1.73m sq
Term
GFR #s
Definition
- normal = 90 ml/min
- 60-89 mL = normal w/o kidney damage
- 60-89mL >3mo along with kidney damage=early kidney dz
<60mL >3mo = chronic kidney dz (CKD)
Supporting users have an ad free experience!