Collection Technique
Its best practice to collect the sample during this part of the stream.
What is mid stream
This value is an indicator of the kidneys ability to concentrate urine.
What is Specific Gravity
Greater than 10 of these per HPF is indicative of an urinary tract infection.
What are WBCs (leukocytes)
It is not necessary to send a urine culture on this group of patients with symptoms of a UTI and positive dipstick/micro results.
What are young, otherwise healthy, non-pregnant females
True or False: Urinalysis is often used to help stage CKD?
What is true
For best results you should run your urinalysis within this timeframe.
What is within 2 hours of collection
If this turns positive, the cause may be actually myoglobin.
What is heme
These cylindrical shaped items reflect the shape of the tubule they were formed in.
What are casts
This is the generally accepted value for considering a urine culture positive.
What is >100,000
Patient X is scheduled to have a urologic procedure next week. You are trying to decide if you want to send a UA with their pre-operative labs. What piece of information are you missing that will help you decide?
What is are the they having any symptoms?
In patients with indwelling catheters, samples should be obtained from this location.
What is the tubing
This result is often considered the hallmark of renal disease.
What is proteinuria
These types of crystals are the most common causes of kidney stones
What are calcium crystals
The _____ your minimum inhibitory concentration is, the more effective that antimicrobial agent is likely to be
What is lower
Name two scenarios where you would always recommend checking the urine sediment.
What are clarify dipstick, AKI, initial work up of CKD
At what temperature should the urine sample be examined at?
What is room temperature.
These organisms cause the conversion of nitrate to nitrite, which indications a UTI.
What are enterobacteria.
The microscopy states Large amount of squamous epithelial cells. What is the significance of this result?
What is a contaminated specimen
True or False: You should wait for the urine culture results before starting your patient on antibiotics.
What is false
It is always recommended to send an urine culture on a patient with fever and altered mental status.
What is false. (only w/o evidence or another source)