Urinary Elimination: Collection Of Urine Specimen

SHARE:


Collection of Urine Specimen
Purpose:
ü To assess the ability of kidneys to concentrate & dilute urine,
ü Determine glucose metabolism disorders & determine specific constituents.
Principles:
ü Contaminated & improperly collected specimen will give false reading, adversely affect diagnosis & treatment.
ü Specimens allowed to stand at room temperature for a long time will give false reading due to decomposition & bacterial growth.
ü Accuracy & reliability depends on the collection & transportation methods.
ü Specimens serve as a media of transmission of microbes to the person who handles it carelessly.
Types of urine specimen:
1) Clean voided urine specimen/Single urine specimen/random specimen
·        It is used for routine examinations
·        Usually morning specimens are collected.
·        After cleaning the genital area the patient passes urine in a clean urinal or kidney tray or directly into the specimen bottle.
·        100-120 ml is sufficient.
·        Clean the outside of container and label it
2) Timed Specimen/ 24 Hour Urine Collection
·        Required for accurate measurement of the kidneys excretion of substances
o   Ex: urine protein, Creatinine, uric acid and selected hormones
·        Preservative is added to prevent breakdown of certain urinary constituents
·        Started early in the morning after the first void
·        All the subsequent voiding are collected including the last voiding at the end of 24 hrs
·        Collection begins at 6 AM. Ask the client to void at 6 AM & discard this urine.
·        All the subsequent voiding are collected including the last voiding at 6 AM the next day in a collecting jar already labeled & added with a preservative.
 3) Midstream urine collection/ clean catch
·        It is collected in sterile specimen containers or disposable clean catch kits.
·        Instruct the client to wash and dry genitals and perineal area ( including the urinary meatus)
·        Instruct the client start voiding, then place the container into the stream of urine taking care not to touch the perineum & collect 30-40 ml urine. Cap tightly, clean the out part of specimen container and label it
·        Sent to the lab immediately
Self- collecting MUS for a woman
·        Separate labia minora and cleanse perineum with aseptic swabs starting in front of urethral meatus towards the rectum (3 times)
·        Begin to urinate while continuing to hold labia apart
·        Allow first urine to flow into toilet
·        Hold specimen container under the urine stream and collect the sample
Self- collecting MUS for a man
·        Cleanse the end of the penis in a circular motion with aseptic swabs (x3 times)
·        If not circumcised, should retract the foreskin to expose the urinary meatus before cleansing
·        Allow first urine to flow
·        ' Pass specimen container into urine stream and collect sample
Specimen from a Catheter
·        If client already has an indwelling catheter in place,
·        Specimen is obtained using a syringe to draw urine from a self - ceiling pot in the  catheter
·        Never collect from the drainage bag
Collecting Urine from Children
·                    Catheterization not recommended because of small meatal opening and trauma to the young child
·                    Plastic collection devices are more acceptable
Nurse's responsibilities (please do include the instructions to be given to client for each type of specimen collection)
·        On the previous day explain the procedure.
·        Provide an appropriate container & demonstrate how to use.
·        Instruct not to contaminate the outside of the bottle.
·        Ask to wash the external genitalia with soap & water before collection.
·        Collect in clean dry containers with wide mouth.
·        No antiseptics should be used in the containers.
·        Avoid collection during menstruation.
·        Preservatives should be added when collecting 24 hour specimens.
·        Label each specimen with necessary data including date time & nature of test done

·        Perform hand washing & use disposable/paper gloves.

COMMENTS

Name

anaphysio,3,ASEPSIS AND INFECTION CONTROL,9,audio,1,biochemistry,2,blog,1,BSN Notes: Assessment in Psychiatry,6,BSN Notes: Burns,11,BSN Notes: Care of Terminally Ill Patients,6,BSN Notes: Childhood and Developmental Disorders,6,BSN Notes: Common Behavioural and Social Problems,4,BSN Notes: Common Childhood Diseases,7,BSN Notes: Common Signs And Symptoms,32,BSN Notes: Community Mental Health Nursing,12,BSN Notes: Critical Care,12,BSN Notes: Disaster and Emergency,15,BSN Notes: ENT,8,BSN Notes: Eye,25,BSN Notes: History and Assessment,24,BSN Notes: Introduction of Psychiatry,27,BSN Notes: Legal Issues In Psychiatry,4,BSN Notes: Medication Administration,24,BSN Notes: Neuritic_Stress related and Somatization Disorders,10,BSN Notes: Neurology,6,BSN Notes: Oncological Nursing,8,BSN Notes: Organic Brain Disorders,1,BSN Notes: Oxygenation,3,BSN Notes: Personality_Sexual and Eating Disorders,5,BSN Notes: Principles and Concepts of Psychiatry Nursing,2,BSN Notes: Psych-pharmacology and Other Treatment Modalities,30,BSN Notes: Psychiatry Emergencies and Crisis Intervention,4,BSN Notes: Psychosocial Needs,5,BSN Notes: Schizophrenia and othe Psychotic Disorders,4,BSN Notes: The healthy child,5,BSN Notes: TNPR,9,BSN Notes: Urinary Elimination,14,chn,41,clinicalkannada,4,clinicals1,35,clinicals2,10,clinicals3,26,clinicals4,11,Code of Ethics,3,community,7,Critical thinking,7,drugs,3,Equipment & Linen,9,Equipments & Linen,1,Etics and Legal,1,exa,1,exam,11,featured,19,fon,141,fon3,141,fun,1,geriatric,1,graphic,1,Growth and Development,5,he,93,hotspot,6,kannada,54,language,1,Machinery,10,Medications,1,Memory Tools,9,mhn,126,microbiology,3,misc,2,mnemonics,48,msn,137,NCLEX,13,ncp,27,news,4,obg,28,OBG Medications,1,Peri- operative Nursing,2,pharma,29,Physical Examination and Assessment,9,Psychology,2,Pulse,7,resources,1,Respiration,4,Transitional care,1,Ventilators,5,voice,2,
ltr
item
notes.nursium.com: Urinary Elimination: Collection Of Urine Specimen
Urinary Elimination: Collection Of Urine Specimen
notes.nursium.com
https://notes.nursium.com/2017/02/urinary-elimination-collection-of-urine_24.html
https://notes.nursium.com/
https://notes.nursium.com/
https://notes.nursium.com/2017/02/urinary-elimination-collection-of-urine_24.html
true
3454605208880343795
UTF-8
Loaded All Posts Not found any posts VIEW ALL Readmore Reply Cancel reply Delete By Home PAGES POSTS View All RECOMMENDED FOR YOU LABEL ARCHIVE SEARCH ALL POSTS Not found any post match with your request Back Home Sunday Monday Tuesday Wednesday Thursday Friday Saturday Sun Mon Tue Wed Thu Fri Sat January February March April May June July August September October November December Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec just now 1 minute ago $$1$$ minutes ago 1 hour ago $$1$$ hours ago Yesterday $$1$$ days ago $$1$$ weeks ago more than 5 weeks ago Followers Follow THIS CONTENT IS PREMIUM Please share to unlock Copy All Code Select All Code All codes were copied to your clipboard Can not copy the codes / texts, please press [CTRL]+[C] (or CMD+C with Mac) to copy