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UA Collection

Midstream

UA Testing includes

Macroscopic (color)


Chemical (dipstick)


Microscopic (spin and look at on glass slide)

Culture and Sensitivity Collection

Clean catch

Culture and Sensitivity test

UTI

Culture and Sensitivity collection handling

Incubate for 18-24 hours


Check for growth

If microorganism is ID'd, what test is performed to determine proper antibiotic?

Sensitivity test

Urine cytology studies detect what?

Cancer, cytomegalovirus, and other diseases

Urine cytology tests are special because they are

ASAP

Urine Drug screen

Random test, used to detect drugs, performed in groups based on drug classification

Urine glucose and ketone test

Reagent test strip

Urine glucose and ketone tests for what?

Diabetes, monitor glucose, and ketone levels in diabetics

Special handling for amniotic fluid

Protect from light, collected in sterile container, and delivered to lab asap

How much fluid is taken during an amniotic fluid draw?

10 mL

What does amniotic fluid test for?

Genetic disorder

How to obtain a CSF specimen?

By a physician via lumbar puncture

CSF determines what tests?

Meningitis


Brain abscess


Central nervous system cancer


MS

4 tests

CSF specimens are treated as

STAT

Routine tests for CSF

Cell count


Chloride


Glucose


Total protein

Gastric fluid comes from?

Stomach

Gastric fluid comes from?

Stomach

Gastric fluid is tested for?

Abnormal substances, gastric acid concentration to evaluate production

The phlebotomist assists with this test with gastric fluid

Basal gastric analysis

Basal gastric anaylysis

Tube in throat


Get sample


Test acidity prior to stimulation


Stimulation admin by IV


More samples collected at interval

Nasopharyngeal secretion tests

Diphtheria


Meningitis


Pertussis (whooping cough)


Pneumonia

What's used to collect nasopharyngeal secretions?

Sterile Dacron or cotton wire swab

Saliva collections

Noninvasive


Used to detect hormone levels, alcohol and drug abuse

Semen is sent

ASAP

Semen is analyzed for

Fertility or effectiveness of sterilization


Criminal sexual investigations (comes with chain of custody)

Semen is analyzed for

Fertility or effectiveness of sterilization


Criminal sexual investigations (comes with chain of custody)

Semen is collected in

Sterile container, kept warm, protect from light

Pleural cavities ars

Lungs

Pleural cavities ars

Lungs

Pericardial

Heart

Pleural cavities ars

Lungs

Pericardial

Heart

Peritoneal cavities

Abdominal region

Pleural cavities ars

Lungs

Pericardial

Heart

Peritoneal cavities

Abdominal region

Serous fluid is found in

Pleural, pericardium, and peritoneal cavities

Sputum is collected to monitor

Lower respiratory tract infections (TB)

When is sputum collected?

1 hour after meal to avoid gagging

Sweat tesfs

Pilocarpine (sweat stimulation drug) and electrical current


Collected, weighed, analyzed for chloride content


Used to detect illegal drugs in skin patches

Synovial fluid is typically collected in?

EDTA/HEP: for cell counts, ID crystals, smear prep


STERILE: culture and sensitivity and micro


NONADDITIVE: macroscopic appearance, chem, immunology, observe clot formation

Synovial fluid occurs in large or small amounts?

Small

When does synovial fluid increase?

When inflammation is present

Synovial fluid can be tested for what?

Arthritis


Gout


Other inflammatory conditions

Where do you get buccal specimens from?

Cheek

How much bone marrow is taken for a specimen?

1-1.5 mL

2 main components tested in breath samples?

C-Urea (detects H Pylori)


Hydrogen (ID problems w digestion of lactose and fructose


Most accurate lactose tolerance test


Bacterial overgrowth in small intestine)

Feces tests for?

Gastrointestinal disorders

Nurses collect throat swabs from _____, phlebotomist collects from _____.

Inpatient, outpatient

Tissue specimens are sent to?

Hystology department