Urinalysis results interpretation pdf

Interpretation of urinalysis and urine culture for uti treatment. Starvation, diabetic ketoacidosis, diarrhea, dehydration blood urea nitrogen normally 5normally 520 mgdl20 mgdl collect in tiger top tube. This article gives an overview of the most important aspects of this investigation, highlighting signs to look for and what they may mean. It is vital to identify the occurrence of the abnormal contents of the urine. Urinalysis can also help detect metabolic possibility of contamination from the urethra and diseases such as diabetes mellitus through measure genital. When the results are abnormal, the doctor determines the next step based on various factors. It is not intended to be and should not be interpreted as medical advice or a diagnosis of any health or fitness problem, condition or disease. Cloudy urine often is a result of precipitated phosphate crystals in alka line urine, but. A listing of the aspects of the urine that are being evaluated.

Urine dipstick testing ceconnection for allied health. Through history, people created charts of urine color to help diagnose disease and by the 17th century, practitioners began tasting urine to help diagnose diabetes. In this sample at an urban teaching hospital ed, urine testing was not driven by symptoms. The content on this site is presented in a summary fashion, and is intended to be used for educational and entertainment purposes only. Liver damage, hemolysis, billary obstruction alkaline phosphatase normally 25normally 25160 iul160 iul. A urinalysis, or urine test, is a common medical test in which the urine is examined to diagnose and monitor various illnesses. This guide provides a structured approach to documenting urinalysis results in a patients notes, with included examples. Jun 23, 2014 urinalysis and urine dipstick tests for infection are easy to obtain and inexpensive initially, but their results are complex to interpret and can have important downstream consequences. Fill out, securely sign, print or email your urinalysis report form instantly with signnow. Scroll down to read the article or download a printfriendly pdf here. Abnormal urinalysis results may point to a disease or illness.

In some illnesses, such as diabetes or kidney failure, certain substances appear in the urine long before patients exhibit symptoms. Results of dipstick biochemical analyses of nitrate, leukocyte esterase, and urobilinogen are unreliable and should be ignored when assessing urine of dogs and cats. Gordon has no fiduciary conflicts of interest some of the material presented herein has been previously published. Urine drug testing is an important part of managing longterm opioid therapy. Values outside the reference range should be interpreted in context with the. Jul 04, 2018 urine test results and interpretation. Cloudy urine often is a result of precipitated phosphate crystals in alkaline urine, but pyuria also can be. Urinalysis is often done as part of a general health evaluation, but ua can also. Objectives describe which patients may benefit from a urinalysis define the components of a macroscopic, dipstick, and microscopic urinalysis interpret the results of a macroscopic, dipstick, and microscopic urinalysis identify the limitations of a urinalysis. The tests detect andor measure several substances in the urine, such as byproducts of normal and abnormal metabolism, cells, cellular fragments, and bacteria urine is produced by the kidneys, two fistsized organs located on either side of the spine at the bottom of the ribcage. Always wear gloves whilst messing about with another persons pee. Interpretation of the urinalysis part 1 introduction and. Proteinuria may indicate both renal and nonrenal disease.

The advanced tools of the editor will direct you through the editable pdf template. During a urinalysis, a clean urine sample is collected into a. Mar 16, 2020 a urinalysis also measures the ph balance of your urine to determine its acidity. Ramp urine drug screens and interpretation created date.

Urinalysis color chart with information on how to interpret the color variations on home urine test strips including what the color changes may mean. Interpreting urinalysis and urine culture results philip sloane, md, mph professor of family medicine and geriatrics. Immerse the dipstick completely in the specimen of. The results of the routine urinalysis can be used to help diagnose everything from dehydration to the rare metabolic disorders. If you have to take this test before, you might be aware about the preparatory steps and urinalysis interpretation.

Sep 12, 2014 urinalysis in infancy and early childhood is a simple and informative diagnostic test as long as the urine sample has been obtained properly and the results are interpreted appropriately for this age group. Interpretation of laboratory tests university of washington. A urinalysis is a simple test that looks at a small sample of your urine. The urinalysis is a simple and noninvasive test that provides valuable information.

Record control results on the urine dipstick qc log. Urinalysis has become more sophisticated since those times, but the. Interpreting your urinalysis results involves looking at the levels of the substances found in the urine and comparing them. While it is standardly performed before surgery to identify any kidney problems, a urinalysis may be used at a doctors office if a kidney infection, urinary tract infection, or other urinaryrelated disorder is suspected. Introduction the renal system is a system which is composed of two kidneys, two ureters, one. Document the time and date that the urinalysis was performed as this may be significantly different than the time you are documenting.

How to document urinalysis results in the notes geeky medics. The normal smell of urine can be described as urinoid. If significant proteinuria is detected and there is an inactive sediment, urine protein. For example, a urinary tract infection can make urine look cloudy instead of clear. As the components of the renal system the kidneys have the following functions. Routine urinalysis as performed in most toxicology studies is an imprecise tool, and assays are qualitative or semiquantitative. The glucose pad is nearest the hand held end of the dipstick. Those dipsticks make a pretty good catapult for drops of eyeballseeking urine. The article comes with a selfassessment enabling you to test your knowledge after reading it.

Reference range, interpretation, collection and panels. Urinalysis can be undertaken in many ways, one of which is using a reagent stick. However, if a significant amount of squamous epithelial cells. Interpretation of the urinalysis part 1 introduction. Home urinalysis test strip color chart and explanations. The interpretation of the urinalysis by a dipstick is simply done by. Urinalysis in infancy and early childhood is a simple and informative diagnostic test as long as the urine sample has been obtained properly and the. Urine test types, procedure, preparation, results interpretation. The results from microscopic urinalysis are generally more quantitative in terms of white blood cells or red blood cells in the urine, the presence of bacteria in the urine, and the amount of cellular debris in the urine. Immerse the dipstick completely in the specimen of fresh urine. Sep 30, 2015 the final part of a short series on urinalysis interpretation, including microscopy of casts and crystals.

The final part of a short series on urinalysis interpretation, including microscopy of casts and crystals. Introduction the renal system is a system which is composed of two kidneys, two ureters, one bladder and one urethra. The urinalysis is almost always a random specimen, being refrigerated until delivered to the lab. How to correctly interpret a urine drug screen result a project ramp resource adam j. A healthcare practitioner must correlate the urinalysis results with a persons symptoms and clinical findings and search for the causes of abnormal findings with other. It seems to be a straightforward test, and most physicians think they are well versed in the interpretation of the results. Interpretation of urinalysis results point of care diagnostics. Previous diagnosis with urinary tract problems, kidney issues or any other related condition may result in further tests. With the recent increase in deaths caused by opioid overdoses, several federal and state regulations have been enacted.

All test results for dogs should be confirmed with microscopy because of a high number of falsenegative results. Urinalysis results are reliable for detecting the likeliness of certain health conditions, like urinary tract infections, kidney disorder, liver problems, and diabetes. Urine test definition, disease detection, and results. Nov 15, 20 in addition, it can provide useful information related to screening and diagnosis of other conditions, including malignancy, proteinuria, glycosuria, ketonuria, and renal calculi. Abnormal findings are a warning that something may be wrong and should be evaluated further.

Interpretation of urine analysis march 2015 denise k link, mpas, pac. Record results in the units specified on the urine. Urinalysis is an important screening and diagnostic tool, but health professionals must know how to perform the test and interpret results correctly for it to be beneficial. Helps identify if patient is hydrated dehydrated marker for common. The urinalysis hippocrates 430377 bc noted that the condition of urine could reflect health. A low ph level on your urinalysis results indicates urine that is more acidic than normal, which can be the result of eating spicy, acidic foods. Regulation of water and electrolyte such as chloride. A urinalysis is a common test used to analyze the content and chemical makeup of your urine. A listing of the urinalysis results that are normal. As a general rule, the more yellow, the more concentrated. An overview of the components of a ua, along with discussion of urine color and turbidity. Sep 27, 2015 an overview of the components of a ua, along with discussion of urine color and turbidity. Urinalysis what does an urinalysis test for, how to.

Results of urinalysis provide specific evaluation of the urogenital tract and may reflect systemic changes. How to correctly interpret a urine drug screen result. The way to complete the online urinalysis form on the internet. It can also help find serious diseases in the early stages, like chronic kidney disease, diabetes, or liver disease. Often, substances such as protein or glucose will begin to appear. The specimens themselves can be either random spot specimens or timed. Results in seconds to minutes often performed in emergency departments or ambulatory clinics that do not have a micro lab available associated with false negatives use caution if a negative dipstick test results in a patient with symptoms of a uti dipstick is specific, but not very sensitive sensitivity related to bacterial load. For example, certain medications, high amounts of vitamin c and even some foods that change the color of your urine may lead to inaccurate results. Chapter 1 urinalysis 1 introduction the urinalysis ua is critically important in the diagnosis of renal and urologic diseases akin et al.

Start a free trial now to save yourself time and money. Indeed, it is generally the first test that the nephrologist looks at in evaluating acute kidney injury or chronic kidney disease ckd. No preparation other than cleansing the area around the urethra urinary opening is required for the automated dipstick urinalysis. In addition to knowing how to perform urinalysis, its also important to understand how to appropriately document urinalysis results in a patients notes. As a result, glucose is then excreted in the urine. A urinalysis is a routine screening that your physician may order as part of a physical exam or as a test to diagnose certain illnesses. A dipstick urinalysis is a preliminary test and a number of factors can potentially interfere with the accuracy of the results 3.

It can help find conditions that may need treatment, including infections or kidney problems. Unusual urinalysis results often require followup investigation and additional testing to uncover the source of the problem. The date and time that the laboratory received the sample. How to interpret dipstick urinalysis results healthfully. The fact is that urinalysis test results reveal certain things about the overall health of the candidate. Urinalysis and urine dipstick tests for infection are easy to obtain and inexpensive initially, but their results are complex to interpret and can have important downstream consequences. Color changes that occur after the correct reading time are erroneous. Urinalysis form fill out and sign printable pdf template. Dec 15, 2015 a urinalysis with positive tests for nitrites, leukocyte esterase, and bacteria is highly suggestive of a urinary tract infection. Use this stepbystep instruction to fill out the urinalysis report form swiftly and with ideal accuracy. Urinalysis results interpretation highlights the urinary system consists of the kidneys, ureters, bladder, and urethra.

Some drugs such as rifampin will color urine rifampin orange, for example, and. A urinalysis is a group of physical, chemical, and microscopic tests. Interpretation of urinalysis results urinalysis is used as a screening andor diagnostic tool to detect substances or cellular material in the urine associated with metabolic disorders, renal dysfunction or urinary tract infections uti. It requires a simple light microscope and is done by physicians or trained technicians. Grossly discolored urine may affect dipstick interpretation of reactions for bilirubin and ketones. The key elements in the system are the kidneys, a pair of purplishbrown organs located below the ribs toward the middle of the back. To be effective, the test must be performed properly and the results interpreted correctly. How to read and interpret a lab report what you dont know can hurt you.

With the recent increase in deaths caused by opioid overdoses, several federal and. The most secure digital platform to get legally binding, electronically signed documents in just a few seconds. Increased levels of protein in urine can be a sign of kidney disease. To give a basic knowledge of the kidney structure and urine formation as an important aid in understanding urinalysis and test interpretation. Additionally, because urinary dipstick tests detect the presence of glucose only, the clinitest and. Interpretation of the urinalysis part 2 the dipstick an overview of the urine dipstick, including both how to check it as well as interpret the various possible findings. A urinalysis with positive tests for nitrites, leukocyte esterase, and bacteria is highly suggestive of a urinary tract infection. The final part of a short series on urinalysis interpretation, including microscopy of. A urine test urinalysis, is a simple test used to diagnose infections and conditions such as urinary tract infections, kidney stones, kidney conditions, dehydration, and liver disease. Urine test is performed as a routine medical examination or for diagnostic purposes. Urinalysis is commonly included in nonclinical toxicology study protocols. May be a significant colony count if patient has uti symptoms. Jan 01, 2019 urine drug testing is an important part of managing longterm opioid therapy.