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what are the 3 types of intravenous catheters?
-butterfly catheter (E-Z set infusion set)
-over the needle (OTN)
-through the needle (TTN)
when is the best time to collect a urine sample?
first thing in the morning
why do we get urine samples
because there is a lot of information to be found
what information can you find in a urine sample?
diabetic
kidney
crystols
specific gravity
blood glucose
protien
ph
key tone
what is the advantage of a voded sample?
you can sent the owner home and tell them to bring back a sample of urine
it tells you about the distal end
what is the disadvantage of a voided sample?
not good for cultures
end up with a lot of garbage
not sterile
what can a voided sample tell us?
see the start to finish
tells you about lesions (any damage on organs and tissues)
what is the procedure for voided samples?
clean the area take them outside and get sample
what is a mainstream sample
getting sample in the middle
let them pee a little then get sample
what is the advange of expressing the bladder
you don't need any special equipment
what is the disadvantage of expressing the bladder
no good for bacterial cultures
if not careful can do damage to the bladder
what is the advantage of urinary catherization
clean sample for bacteralogic cultures
what is the disadvantage for urinary catherizations?
need red rubber feeding tube or folley type catheter
need equipment
what type of urinary catheters do you need for male canine procedure
red rubber tube
stiff polypropalin
folley
what is the advantage of a females catheter
doesn't roll around
what are you looking for in a female when doing the catheterization
papila
donut on the floor
what is the indication for indwelling urinary catheters
damage to the uretha
post surgical
animals can't urinate
hit by a car or nerological problems
how to you secure an indwelling urinary catheter
suture
tape
inflate the cuff
need a fluid bag as a urine collecting device
what is the advantage for cystocentesis
clean sample
dont need sedation
what is the disadvantage of cystocentesis
may need to do it blindly
what is the procedure for cystocentesis
palpate
need 20-22 needle trhat is 1 1/2 inches long
what should you do once you get the sample
analyze the sample as soon as possible
if can't refrigerate it
how long do you have to analyze the sample that is sitting out
30 mins
how long can a sample be refrigerated before its no longer good
6-12 hours
if you put sample into the refrigerater what should you do when you take it out
warm to room temp before testing it because if its cold it get cystals
what happens to a urine sample that sits for a long period of time
start to see artifical stuff
cells get weird
ph can become more alkaline (ph increases)
isotheuric
not concentrating urine means not getting rid of toxin and it can be deadly
causes of increases urine specific gravity
animal is not drinking
vomiting
diarrhea
losing fluids
acute renal disease
shock
what can urine specific gravity tell us
kidney function
disease process
causes that decrease urine specfic gravity
polydipsia
piametra
diabetis
liver disease
renal disease
what should you centrifuge the urine ar for the first 5 min
100-200 G
why is it important to use centrifuged urine
because suspended materials in the urine will cause the line in refractometer to be indistinct rather than sharp
what should you do if the urine specific gravity is greater than the upper range of the refactometer
pipette 0.5 ml of urine into tube
pipette 0.5 ml of distilled or deionized water into tube
what should you do to the inital reading of the scale of the refactometer
ex) dilution read 1.036
divide by 2 after the decimal
.036 x 2 = .072
the true urine specific gravity is 1.072
what do you do for the reagent strip
drop urine in each pad and it tells you what is going on
what is the pro about reagent strips
simple and fast
what is the con about the reagent strip
subjective
best to use as guideline
if you find something wrong dig deeper try to get more information
alkaline urine
ph above 7
acidic urine
ph below 7
ph
indication of hydrogen ions
factors decreasing ph of urine of a healthy animal
diet
fever
surgery
starving
high protien diet
excess muscle activity
factors increasing ph of urine of a healthy animal
urinary tract infection
should you find protein in the urine
no if you do we worry
should be absent in cystocentsis or catherization
when is the only tiem you should find protein in the urine
free catch
what is the procedure for protein determination
semiquantitative measurementof protein in urine by progessive color change on the reaction pad
reagent test strip
what can cause false positives in reagent strip for protein
alkaline urine
albumin sensitive
moltaline myploma
get something weird dig deeper
if you get extreme protein measurements what should you do
should be confirmed dig deeper
quantitated by more advanced and accurate procedures like
sulfosalicylic acid turbidmetry
specific biochemical analysis
what is the significance of proteinuria
leavel of protein in the urine
is protein normally present in urine
if small amount ok
depends on age and diet
worry if there is a large amount
when should you expect to see proteinuria
seizures
extreme stress
extreme excersion
first days of life
goes into heat
reasons for proteinuria
acute renal disease (nephritis) increase protein
chronic renal disease (nepritis)decrease protein
multiple myeloma-cancer of plasma cells
conjuctiva
heart failure beacause heart not keeping up
glucosuria or glycosuria
presence of glucose in the urine
what are the causes of glucosuria
diabetes mellitus
high carb meals
fear excitement restraint (false positive)
hyperthyroidism, cushings disease chronic liver disease and renal tubular disease
what causes false positives for glucose in urine
medicine
drugs vitamin c
morphine
asprin
penicilline
what are ketones
fat breakdown
can be very toxic and dangerous at high levels
what does altered carbohydrate metabolism lead to
excess ketone production
ketonuria
excessive ketone in blood spills into urine
bad
can put animal into coma or death
what is the cause of ketouria
pregnancy toximia
diabetes mellitus
happen a lot in sheeps and goats can happen to cows cause they can't keep up with the milk for youngs
causes of ketosis
starvation
fasting
high fat diets
long term anirexia
what are the 2 types of bile pigments
bilirubin-unconjugate or conjugated
urobilinogen
normal in small amounts in male dogs and cattle
not normal for cats horses pigs or sheeps
what are the causes of bilirubinuria
anything wrong with the liver, bile duct
IMHA
urobilinogen
said to be normal to find
bacteria turns bilirubin into urobilinogen in the intestines
hematuria
intact RBC in the urine
cloudy red color
if it sits out will be wine brown color
hemoglobinuria
sample sitting out can be a false positive
myoglobinuria
myoglobin in urine
muscle protein turns urine from brown to black
getting hit by a car or doing a lot of running
test for blood
nonspecific- positive for hemoglobinuria, hematuria, and myoglobinuria
need to dig deeper to determine cause for the positive test for blood
Author
vanessasoto
ID
214360
Card Set
Final for clin tech
Description
cards for clinical tech for spring semester 2013
Updated
2013-04-18T22:57:07Z
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