URINALYSIS

DATE: February 2, 2015

EXAM

NORMAL VALUE

ACTUAL VALUE

INTERPRETATION

SIGNIFICANCE

PHYSICAL
CHARACTERISTIC:
COLOR

Clear yellow/straw;
clear and pale to
deep yellow

Dark straw

Acidic
REACTION

SPECIFIC GRAVITY

Normal

1.030

Normal

Negative
++++

ALBUMIN

Negative

Normal urine is acidic

in reaction but
become alkine it may
be caused by the
decomposition of
bacterial action thus
it indicates infection
in some of urinary
tract.

This shows the

concentrating and
diluting ability of the
kidney. If it is increase
then dehydration is
suspected.

CHEMICAL
CHARACTERISTIC:
SUGAR

++

-Monitor input and

output characteristics
of the urine.
-Determine the
patient's voiding
patterns

Normal

Acidic

1.002-1.035

When urine coloris

different other than
yellow for example
red,it may indicate
presence of renal
disease.

NURSING INTERVENTION

-Encourage increased
fluid intake

-Monitor laboratory
tests: electrolytes,
creatinine

-Provide information
on: sources of
infection, measures to
prevent the spread,
explain the
administration of
antibiotics, diagnostic
examination.

Abnormal

Abnormal

This is to detect
diabtes mellitus and
other kidney disease
in which there is a
decrease in tubular
reabsorption.

-administer antibiotics
as ordered and
provide management
of pain through the
delivery of prescribed
drugs
-patient teaching is

Abnormal

The appearance of
albumin in urine is not
normal. It may reflect
a UTI and kidney
problem.

Normal

Pus in urine signifies

that the body is
fighting an infection
in the lower or upper
urinary tract.

MICROSCOPIC
FINDING:
0-4/hpf

1-12/hpf

PUS CELLS

Few

Few

EPITHELIALCELLS

the amount of
epithelial cells in the
urine increases when
someone has a
urinary tract infection
or some other cause
of inflammation.

indicated to promote
self-advocacy so the
client may prevent
future infections.

HEMATOLOGY
Date: February 2, 2015
DETERMINATION

NORMAL VALUE

ACTUAL VALUE

INTERPRETATION

CLINICAL

NURSING

SIGNIFICANCE

Segmenters

Lymphocyte

0.55-0.65

0.25-0.040

0.80

Increased

High segmenters can

be due to infection or
inflammation.

0.20

Decreased

Low lymphocyte
count indicates that
the body is low on
infection resistance.

RESPONSIBILITY

-Provide information
on: sources of
infection, measures
to prevent the
spread, explain the
administration of
antibiotics, diagnostic
examination.
-administer
antibiotics as ordered
and provide
management of pain
through the delivery
of prescribed drugs
-patient teaching is
indicated to promote
self-advocacy so the
client may prevent
future infections.
-encourage to eat
nutritious foods such
as foods rich in
vitamin C.

FECALYSIS
Date: February 01, 2015

DETERMINATION

Color

NORMAL VALUE

ACTUAL VALUE

Brown

Soft
Consistency

Microscopic:

Yeast cells
+

NO INTESTINAL
PARASITE SEEN

INTERPRETATION

CLINICAL
SIGNIFICANCE

NURSING
RESPONSIBILITY

DATE

NURSES PROGRESS

DOCTORS ORDER
Please admit to medical ward
Secure consent
TPR with shift
IVF PNSS 1L @ 30 gtts/min
Diagnostic
CBC WITH PC
URINALYSIS
FECALYSIS
Medication
1. Ampicillin 1 gm IVTT q 8h (-) ANST
2. hyoscine 1 amp IVTT q 8h PRN for pain
3. Multivitamins 1 tablet OD

Increase oral fluid intake

Fast drip 100cc then regulated at 30 gtts/min

01 feb. 2015
1010H

IVF to follow D5LR 1L X 8

D5W 1L X 8 hours
Replace losses volume to volume
Hold ampicillin

 Follow up stool exam

Replace losses volume to volume with IVF

IVF to run as KVO

Run present IVF rate at 40 gtts/min

02 Feb. 2015

Start ampicillin 1 gm IVTT q 6 hours ANST

03 Feb. 2015
08:05 am

(+) LBM, Watery

T- 36.3 C

Loperamide capsule 1 cap q 6 hours P.O

Continue other medication

MGH
D/C IVF and IV Meds

04 Feb. 2015
8: 05 am

(+) soft stool once last night

(-) fever

Co-trimaxazole 160mg/800mg BID For 7 days

FBS
Follow up lab result

http://www.myhealthtips.in/2013/08/pus-cell-in-urine.html
http://www.imop.gr/en/urotools-normal-values

Urinalysis. Lab Tests Online. 8 April 2009. American Association for Clinical Chemistry. 12 July 2009.
<http://labtestsonline.org/understanding/analytes/urinalysis/sample.html>.