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12 Cards in this Set

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Urinalysis
save first AM specimen

specific gravity is 1.010 to 1.030
Urine culture and sensitivity
identify bacteria in urine

cleanse outside with providone-iodine soap and water before tests
midstream specimen
normal is less than 100,000 colonies
cystometrogram
test of muscle tone
foley catheter

instillation of saline -- may cause feeling of pressure in bladder
creatinine clearance
renal function

24-hour urine collect
blood drawn at end
normal 1.67 -2.5
BUN
renal function

values affected by protein intake - tissue breakdown and fluid volume
7-22
Cystoscopy
Bowel preparation
Force Fluids
Patient deep breathe to decrease discomfort
NPO

AFter: urine pink tingled -- ab or pelvic pain indicates trauma
antimicrobial prophylaxis
Cystourethrogram
X-ray of bladder and urethra

cather inserted into urethra -- dye injected -- patient voids -- xrays taken during void
IVP
x-ray of kidney, ureters and bladder

Bowel prep
NPO after midnight
Allergies
Salty taste or burning may occur during injection
x-rays taken at intervals after dye injecion
Renal scan
evaluation of kidneys

radioactive isotope injected IV --

forced fluids before procedure
Ultrasound
noninvasive -- full bladder
Kidney biopsy
NPO 6-8 hours
x-ray taken before
Skin marked
Position: prone and bent at diaphragm
patient hold breath during needle insertion

After: pressure applied for 20 minute -- prone position -- pressure dressing -- keep flat for 6-8 hours
3000 ml intake
watch for hematuria and site bleeding
Schilling test
diagnosis B12 deficiency
(pernicious anemia)

radioactive B12 administered -- low value excreted indicates anemia -- normal is greater than 10% of dose excreted

Vitamin B12 for life