anatomy of the urinary tract
kidney ureter bladder urethra
specimen containers what’s the most common?
Urine specimen container
what should you label the container with?
name, date, time and test to be performed
what to do before using a container
Must be clean sterile
Ensure the seal has not been broken
Fill out label correctly before sending to the lab
most concentrated urine sample
first morning, urine sample is best because it is the most concentrated
Random urine sample
not scheduled it is the same as clean catch but no special cleaning or midstream necessary
clean, catch urine sample, female
clean skin first, then use three towels to wipe the three sections and then keep them open and start urinating and catch it midstream
clean catch urine sample male
clean skin first from the top of it to the bottom and catch it midstream also
timed urine sample
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
sterile urine sample
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
type of urinalysis 
microscopic examine
Chemical examination
Physical examination
A urinalysis what
most frequently performed test in medical office
color
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
clarity
clear
Slightly cloudy
Cloudy
Turbid
odor
strong odor?
Fruity smell?
volume
average amount for tests is 30 mL or 1 ounce
Low urine output can be a sign of kidney failure or urinary obstruction
specific gravity
how concentrated the urine is
specific gravity characteristics
Normal is 1.010 -1.030
hi, specific gravity may indicate dehydration or the presence of substances like protein or sugar
urinmeter
lower level of meniscus
refractometer
when looking through go under a light or look at window
pH
normal 5.0-6.5
Neutral pH is seven urine is lower than seven so it is a little bit acidic
glucose
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
ketones
Indicates diabetes mellitus, diet, high fat, or starvation
Not normally found in urine comes from breakdown of fats
protein
Renal or kidney disease makes it foamy and should not be found in urine