Question

FF CASE STUDIES CHAPTER 45 Urinalysis Grade: 1. One of your patients needs to provide a 24-hour urine collection. She has before and is unsure how to carry out the procedure. Write the patient explaining what she should do in order to provide an accurate specimen important that the patient thoroughly understands and complies with your arine collection. She has never done it re. Write the patient a list of instructions, complies with your instructions? 2. You instruct a patient how to perform a clean-catch midstream urine specimen. When you test the sample, you discover that the urine is cloudy, with a pH level of 7.5, and contains traces of red blood cells, nitrites, and leukocytes. How would you document this information on the patient's chart? th

Answer 1

1. Type of sample collection :-

#. First Morning/Fasting

- Patient voids before sleeping.

- 1st void is collected the next morning. This is used because it is the most concentrated.

- This is used for checking blood glucose and also pregnancy testing.

#. Post Prandial

- Used for glucose testing.

- Patient eats a full meal than voids 2hrs. Later. This is done along with a 2hr. PP Blood sugar.

#. 24 hr urine sample

- To evaluate kidney function.

- Specimen is collected for a full 24 hour period.

- Start AM and collect every specimen including following first morning specimen.

- Send labeled specimen to lab for analysis with request slip.

#. Sample collection procedure :-

Midstream " Clean Catch"

- Purpose: To determine the type of bacteria and drug used for treatment.

- Patient washes external genitalia with an antiseptic wipe.

- Provide a sterile container, instructing the patient not to touch the inside of the cap or container.

- Place the cap face up on a clean surface.

- Patient is instructed to void a small amount, hold, and catch the remaining urine in the sterile container ( mid stream collection).

- Label specimen container with patient's name, date, type of specimen, and time collected. Place in plastic bag with lab requisition.

- SEND IMMEDIATELY TO LAB FOR ANALYSIS, OTHERWISE SPECIMEN MUST BE REFRIGERATED UNTIL PROCESSED.

#. It is important for the patient to thoroughly understand and comply with the instructions because otherwise the sample will be contaminated and would cause false results and impact the treatment.

2. Documentation - The collected urine sample of the patient resembles cloudy , it's pH is 7.5 , contains traces of red blood cells , nitrates and leukocytes .