Ken Washington, a 61-year-old male patient, arrived today for a follow-up visit from a recent hospitalization for a stroke. Up until this hospitalization, he has had no major health issues. He now has weakness in his left arm and his speech is difficult to understand. His wife tells you that she has noticed some blood in the toilet after he urinates. She also tells you that he has had some pain when he urinates and often only urinates a small amount. Dr. Buckwalter would like for you to obtain a urine sample for a reagent test and have Ken collect a 24-hour urine sample for analysis.
Discussion Questions:
Describe the instructions you will need to give Ken regarding his 24-hour urine collection
1. INSTRUCTIONS FOR COLLECTING URINE SAMPLE FOR REAGENT TESTING
We can give the instruction to Mr.ken while collecting urine sample for reagent testing includes,
a) For reagent testing we need to collect midstream urine ,so educate the pateint to how to collect midstream urine .
b) Adviced the pateint to collect minimum quantity of less than 5 ml urine for testing purpose .
c) Before collecting urine wash the private area .
d) Inform the pateint to wait 5-30 minites for result .
2. WHAT TEST ARE INCLUDED IN REAGENT TEST
The reagent test includes ,
Specific gravity of urine
Glucose
Protein
PH
Blood
Ketones
Leukocyte esterase
Nitrate
Urobilinogen
Bilirubin
3. INSTRUCTION FOR COLLECTING 24 HOURS URINE TEST
Educate the pateint (mr.ken) how to collect the urine for 24 hours test ,it includes ,
DAY 1 -when you wake up in the morning ,urinate into the toilet . because we dont want the first urine .afterwards collect all urine in special container for the next 24 hours .
DAY-2 -urinate into the container when you get up in the morning .carefully cap the urine container and keep it into a cool place or refrigerator during the collection period .
Label the container with your name ,date the time of collection and return it as instructed .
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