24 Hour Urine

Collection
 DEFINITION

A 24-hour urine collection is a

simple lab test that measures
what’s in your urine.
 Purpose

• The test is used to check kidney function.

• To check uncontrolled diabetes

• preeclampsia screening during pregnancy

 Principles
• A 24-hour urine collection is done
by collecting your urine in a special container over a
full 24-hour period
• The container must be kept cool until the urine is
returned to the lab
•  urinate into the toilet when you get up in the morning
 Equipments
• Sterile container with tight-fitting lid
• Emesis basin
• Box of tissues
• Gloves
• Goggles
• Aerosol of 10% sodium chloride or sterile water (optional)
• Nebulizer (optional)
• Laboratory request form
 Nursing Management
• Collect the specimen from the actual site of infection without
contaminating adjacent tissues and secretions.
• Collect ample amount of sample by using appropriate collection
devices such as sterile, leak-proof specimen containers.
• Use appropriate transport media such as anaerobic transport
vials, cultrate for bacterial culture
• Check expiration date before inoculating collection
device.
• Collect specimens before administration of
antimicrobial agents whenever possible
• Label the specimen properly and fill out  test request
form completely.
• Lessen transport time and maintain an appropriate
environment between collection of specimens and
delivery to the laboratory.
 What are the Complications 24HRC
• Acute stress
• Vigorous exercise
• Certain foods, such as coffee, tea, cocoa, bananas,
citrus fruits, and vanilla
• Frequent urinary tract infections.
• Prolonged urinary tract blockage.
What condition should you have to do 24HRC

• Diabetic nephropathy. This happens when someone has

uncontrolled diabetes. It causes high levels of protein (albumin)
in the urine and can lead to kidney damage.
• High blood pressure. Abnormally high blood pressure can lead
to lasting (permanent) kidney damage.
• Lupus nephritis. Lupus is an autoimmune disease where the
immune system attacks the kidneys and damages them.
• Alport syndrome. This health problem causes vision and
hearing problems, as well as progressive scarring of the
kidneys. The syndrome is passed down through families.
• Nephrotic syndrome. This health problem has several different
causes. Symptoms include protein in the urine, low protein in
the blood, high cholesterol levels, and tissue swelling.
• Polycystic kidney disease. This health problem causes the
growth of many fluid-filled cysts in the kidneys. This makes the
kidneys larger. Over time, it takes over and destroys working
kidney tissue.
• Interstitial nephritis or pyelonephritis. This is an
inflammation in the small structures in the kidney. It’s often
caused by infection.
• Screening for preeclampsia in pregnancy. Preeclampsia is a
dangerous health problem that sometimes occurs in pregnancy.
It causes high blood pressure and can lead to organ failure. 
• Kidney stones (nephrolithiasis). Kidney stones form because
of an imbalance of minerals, salts and water in the urine.