Question

nursing intervention for low urinalysis and it rationale please

Answer 1

Urinalysis is test can be done in order to find any disease or infections. Urine analysis test include specific gravity, PH, Red blood cells, white cells, bacteria, color, protein, bilirubin, ketones, nitrates

investigation reports may vary according to instituition, organisation policy

Normal white blood cell should less than 5 /high power field

Normal specific gravity should be 1.003 to 1.030

Color of the urine normally amber color

PH of the urine should be 6.0

Protein of the urine should be  0-8mg/ul

Leukocyte esterase, ketones, bilrubin and Nitrates normally absent. If the bacteria, white blood cells, red blood cells and pus cells are low, that has no effect on an individual. If the urine volume, PH, Color, specific gravity changes and becomes low that maybe due to many factors.

If the urinalysis has low volume of urine, the following intervention can be done to induce the urine output for urinalysis

Nursing intervention and rationale

· Assess the hydration status of the patient in order to draw the plan of care

· Assess the any associated complaints with low urine output in order to draw a plan of care regarding that

· Palpate the bladder for checking any residual volume of urine

· Educate the patient to consume more amount of fluid to increase output as in case of diarrhea, vomiting, less intake of fluid, hyperthermia, benign prostatic hyperplasia

· Provide privacy in case of voiding thereby it helps him encourage voiding

· Monitor intake and output to check fluid status

· Teach him bladder training that increase urinary flow

· Encourage the patient to go bathroom in order to increase urine sensation

· Open the tap water while passing urine to increase sensation

· Advise to take cranberry juice and vitamin C that increase urine flow

· Advise to avoid caffeine because that irritates bladder

· Administer intravenous fluids to increase urine output

catherize the patient to increase urinary outflow in case of obstruction

If the urinanalysis has low PH which may be associated with diabetic ketoaciodosis, diarrhea, vomiting, dehydration

Nursing intervention and rationale

· Assess the fluid status of the patient in order to provide a plan of care

· Assess the baseline factors for such results and it helps to treat baseline factor

· Monitor intake and output to assess the fluid stagnation in the body and excess fluid removed from the body

· Advise him to measure urine every time after passing urine

· Provide him more oral fluids to increase hydration and increase PH

· Encourage to rest for a periods to increase PH. Because activities consumes energy and fluids

If the urinanalysis has low specific gravity which may be associated with kidney failure, diabetic insipidus, intake of large volume of fluid.

Nursing intervention and rationale

· Assess the fluid status of the patient in order to assess baseline conditions

· Treat the baseline factor for causing lower the specific gravity in order to increase the specific gravity

· Monitor vital signs because it shows low blood pressure as a complication of diabetes insipidus

· Monitor intake and output in order to assess fluid loss and fluid intake

· Monitor specific gravity periodically to assess extend of disease process

· Monitor weight daily to check for weight loss

· Monitor other electrolyte levels. Because diabetic insipidus causes derange of electrolyte level