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- The color of urine is determined mainly by ________. diet filtration rate byproducts of red blood cell breakdown filtration efficiencyA uremic patient has a urine output of 1.8 L/24 h and an average creatinine concentration of 2.2 mg/dL. What is the creatinine clearance? How would you adjust the dose of a drug normally given at 20 mg/kg every 6 hours in this patient (assume the urine creatinine concentration is 0.1 mg/mL and creatinine clearance is 100 mL/min)?1. Among the tests in the Physical Examination of Urine, is there or are there test/s that are no longer being performed in today's setting? Why or why not? 2. Give one(1) alternative testing method for one (1) of the ten parameters tested in a urine reagent strip. Discuss the following:a. Whether the alternative testing method was made before or after the urine reagent stripb. Summarized Procedurec. Causes for False Positivesd. Causes for False Negatives
- 6. Your patient has had the following output: 360 mL of urine and 120 mL of emesis. What will you record as the total output in oz for this patient?1: Explain specific gravity of a urine sample and how it can be used to determine solute content and thus physiological disorders from a urine sample. 2: given a urinometer determine the specific gravity of a sample.Your laboratory supervisor asks you to determine a patient’s 24-hour creatinine clearance. The urinesample reported on the laboratory report is 580 mL. The plasma creatinine level is reported as 10 mg/L.In addition, the urine creatinine concentration was 820 mg/L.Use the information in the case and determine the 24-hour creatinine clearance of this patient. Takeinto consideration the 24-hour duration.
- A creatinine clearance is done on a patient with the following results: serum creatinine, 0.6 mg/dL; urine creatinine, 102 mg/dL; urine volume, 1650 mL/24 hours; body surface area, 1.93 m2. Based on the information from calculations above, which of the following is the best interpretation of this patient's creatinine clearance results? 1) Within the normal range 2) Above normal, probably because the 24-hr urine collection was not completed correctly 3) Above normal 4) Below normal no references, just homework1)Which of the following is NOT associated with a normal first-void urine finding? = trace protein positive glucose 0.1 urobilinogen pH of 6.0 2)A BUN of 60 mg/dL and a 3.5 mg/dL is consistent with which of the following? congestive heart failure nephrotic syndrome glomerulonephritis pyelonephritis 3)A sensitive test for the early detection of renal disease in diabetic patients is the ________________ test.= urine creatinine blood urea nitrogen urinary microalbumin urine pH = 4)An increased serum osmolality is associated with a decreased glomerular filtration rate. True False = 5)Select the influences below that will cause an elevated blood urea concentration. increased dietary protein decreased renal function increased protein catabolism pregnancy1. After completing hand hygiene, what equipment do you need to process a urinalysis (6 items)? 2. What information should be on the label of the UA cup to ensure errors in patients? 3. What are four different colors of urine and what does that color usually mean? 4. What are three descriptions for the clarity of urine and what does the clarity indicate? 5. Why is it important to check the expiration date of the urine dipsticks / reagent test strips? 6. Why is it important for the dipstick to remain in a horizontal position on a paper towel after being dipped in urine? 7. Why is it important to have a watch to interpret the UA results on the dipstick analysis chart? 8. Where is the used equipment discarded? 9. What is important to chart in the patient's notes? 10. Write a sample charting entry for this UA procedure.
- 1. Specify the type of urine container used in routine urinalysis. 2. In a tabulated form, provide the advantages and disadvantages of some preservatives used in urine determination. 3. Give the following changes that may occur if the urine is left unpreseved in a room temperature.The laboratory received a 24-hour urine collection from a 26-year old male (body surface area = 2.34m2), and the total urine collection volume measured 800 mL in 24 hours. After creatinine determinations were performed by the alkaline picrate method, interpret the result. Plasma creatinine: 1.2 mg/dL Urine creatinine: 150 mg/dL a. The creatinine clearance of the patient is above reference range. b. The creatinine clearance of the patient is below reference range. c. The creatinine clearance of the patient is within reference range. d. The creatinine clearance of the patient is borderline high.How can we analyze the chart? Patient B: A 28 y/o male, overweight. Chief complaints: thirst, frequent urination and lethargy. Urine volume 3.8 l (~1 gal)/24hours. 1) What are the abnormal findings? 2)Why is the patient’s urine volume so high? 3) why is the patient thirsty? 4) what is your diagnosis? What other tests might you perform to confirm the diagnosis?