specimen Collection Flashcards

(41 cards)

1
Q

anatomy of the urinary tract

A

kidney ureter bladder urethra

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2
Q

specimen containers what’s the most common?

A

Urine specimen container

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3
Q

what should you label the container with?

A

name, date, time and test to be performed

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4
Q

what to do before using a container

A

Must be clean sterile
Ensure the seal has not been broken
Fill out label correctly before sending to the lab

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5
Q

most concentrated urine sample

A

first morning, urine sample is best because it is the most concentrated

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6
Q

Random urine sample

A

not scheduled it is the same as clean catch but no special cleaning or midstream necessary

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7
Q

clean, catch urine sample, female

A

clean skin first, then use three towels to wipe the three sections and then keep them open and start urinating and catch it midstream

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8
Q

clean catch urine sample male

A

clean skin first from the top of it to the bottom and catch it midstream also

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9
Q

timed urine sample

A

must be kept on ice or in refrigerator to prevent bacterial over growth

Start timing at the first void DO NOT collect the first void sample

Collect urine until the required time is up

Use dark container, some chemicals degrade in the light

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10
Q

sterile urine sample

A

catheterization is the only way to get a sterile sample

You go up about 3 to 4 inches on a woman and 6 to 8 on a male

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11
Q

type of urinalysis 

A

microscopic examine
Chemical examination
Physical examination

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12
Q

A urinalysis what

A

most frequently performed test in medical office

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13
Q

color

A

transparent over hydrated
Pale, yellow healthy
Transparent yellow normal
Dark yellow/brownish orange need more water dehydrated

Pink/red disease or tumor
Foamy kidney disease
Green/blue genetic disease

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14
Q

clarity

A

clear
Slightly cloudy
Cloudy
Turbid

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15
Q

odor

A

strong odor?
Fruity smell?

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16
Q

volume

A

average amount for tests is 30 mL or 1 ounce
Low urine output can be a sign of kidney failure or urinary obstruction

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17
Q

specific gravity

A

how concentrated the urine is

18
Q

specific gravity characteristics

A

Normal is 1.010 -1.030
hi, specific gravity may indicate dehydration or the presence of substances like protein or sugar

19
Q

urinmeter

A

lower level of meniscus

20
Q

refractometer

A

when looking through go under a light or look at window

21
Q

pH

A

normal 5.0-6.5
Neutral pH is seven urine is lower than seven so it is a little bit acidic

22
Q

glucose

A

it is found in urine when the renal threshold for glucose has been reached. It is different for each. Patient average is 180 MG/DL and it is not normally found in urine

23
Q

ketones

A

Indicates diabetes mellitus, diet, high fat, or starvation
Not normally found in urine comes from breakdown of fats

24
Q

protein

A

Renal or kidney disease makes it foamy and should not be found in urine

25
blood
also called hematuria confirmed with microscope examination should not be found in urine
26
bilirubin
result from degradation of hemoglobin may indicate liver disease
27
urobilinogen
degradation of hemoglobin in the intestines by normal bacterial flora
28
nitrites
indicate increase indicate numbers of bacteria
29
leukocytes
pyuria increase the number of white blood cell cells. Confirm with microscope exam indicates infection.
30
reagent strips
observe the reagent pads at the specified time periods
31
how to care for reagent strips
protect from light Put cap on tight and quick No moisture Store at room temp No use after 60 days after opened right date on bottle
32
urinalysis machine
do not bend Put strip in machine and it does it it’s itself
33
microscopic examination of urine
MAs can prep the slides but not read the results
34
centrifuge
spin for 3-5mins always balance it
35
wet mount slide
A wet mount slide is a common slide preparation technique used to observe many types of live microorganisms. In a wet mount, the specimen is suspended in a drop of liquid (usually water) located between slide and cover glass.
36
supernatant
after centrifuge this forms at top pour out some of it
37
pellet
after centrifuge this forms at the bottom
38
agar plate
should be stored inverted upside down
39
throat swab
culture and sensitivity four swashes Get swab and put it in the back of the throat and do three figure eights get the tonsils and the uvula
40
pregnancy test
test for the hormone human chorionic gonadotropin Take in the morning
41
guaiac or hemoccult test
detect blood in stool Get one sample and smear it on a card then do the same on a different side as to turn it over and apply the drops if it shows blue that means there’s blood