urinalysis lab procedure外语英文电子书

urinalysis lab procedure外语英文电子书

ID:7926576

大小:1.16 MB

页数:10页

时间:2018-03-02

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1、UrinalysisPhysicalpropertiesUrinalysisColorandclaritypHSpecificvolumeChemicalconstituentsProteinGlucose,etc.MicroscopicexamofsedimentPhysicalPropertiesClarityColor:yellownormalisclear/transparentYellow–duetourochromeAlkaline:cloudy(precipitationofcrystals)Affectedby

2、:UTI:WBCandalkalinityConcentrationPink“dust”:amorphousuratesFoodDyesBlood1SpecificGravityDegreeofconcentrationOdor:volatileacidsNormal:1.003-1.030,usually1.010-1.025Ammoniacal:oldspecimenUrinometer:weightedbulbFruity:ketonesFloats“high”inconc.spec,“low”indiluteFoul

3、:urinarytractinfectionCalibratetoread1.000indistilledwaterCorrectforproteinorglucoseRefractometer:RatioofvelocityoflightinairtovelocitythroughsolutionCorrelateswellwithspecificgravityVolumeLowspecificgravity:hypostenuriaDiabetesinsipidus:impairedADHNormalvolume:700-2000m

4、L/24hoursPolyuria:LossofconcentratingabilityIncreasedfluidintakeHighspecificgravity:hypersthenuriaDiureticsAdrenalinsufficiencyNervousness/anxietyHepaticdiseaseOliguria:DecreasedfluidintakeorexcessfluidlossCongestiveheartfailureIncreasedsaltingestionFixedspecificgra

5、vity:isosthenuriaRenalshutdownLossofbothconcentratinganddilutingfunctionObstructiontourineflowAnuria2pHpH:usually~6Normal:4-8(usually6)RegulationofbloodpHAcidurine:Reagentstripsuse2acid-baseindicatorsHighproteindietMethylredAcidosis/uncontrolleddiabetesmellitusBrom

6、thymolblueAlkalineurineAftermeals-alkalinetideHighvegetabledietsUTIRenaltubularacidosisGlucoseEnzymatictests:specificforglucoseChemicalPropertiesCopperReductiontests:allreducingsugars“passingthrough”:solutiongoesthroughentirerangeofcolorsandbackto“greenish”becauseoflarge

7、amountofsugar3Non-glucosereducingsugars:Glucose:glucosuriaorglycosuriaLactose:lactatingwomenBloodlevelsofglucoseexceedrenalGalactose:“galactosemia”,leadingtothreshold(160mg/dL)severementalandphysicaldeteriorationRenalglucosuriaanddeathDiabetesmellitus-alsoincreasedvolumewit

8、hFructose:sometimesinhepaticdisordershighspeci

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