00:00
Alright, if you're in a super hurry, this sheet is going to tell you the basics of what you need
to know from this particular type of dipstick. So let's look at leukocytes. If this is positive,
what does that tell me? Well, that may indicate an infection in the kidneys and the urinary
tract. Nitrites, uh, another sign of UTI because bacteria convert nitrate to nitrite and that's
an indication of an infection. Urobilinogen, uh, we're going to look at your liver. That may
indicate some liver cell damage or you got a whole lot of bilirubin excretion going on in the
gut. Now protein could indicate kidney disease. There're a lot of reasons we'd get to kidney
disease but protein in the urine is a sign that that kidney is struggling. pH is the urine acidity
level. Now acidic urine might be caused by kidney disease but it also might be caused by
something that your patient ate. Remember assessment, asking the right questions. You're
the key to keeping your patient safe. Blood in the urine may indicate infection or disease in
the kidney and bladder. Now, if you're female and the female is cycling, she is having her
period, menstruation, you just note that on the sticker. We can still do this but we'll know
that that blood is likely a cause for menstruation. Specific gravity can give us information on
the kidney's ability to concentrate urine in relation to their plasma. Ketones could be
associated with diabetes or someone who might be on a low-carb extreme diet or starvation.
01:33
Bilirubin, again we're back to liver damage and glucose could indicate diabetes. Okay, I just
gave you a whole bunch of information. What I want you to do now is kind of look at things
together. If I was a diabetic client and I think the disease would kind of progress, what am I
likely to see? Let's group them that way. While we know that diabetics have kidney damage,
so protein, probably I'm definitely going to see protein. Now, if the specific gravity is high that
could tell me that the patient also has high glucose, so let's go down and look at the glucose.
02:10
I would expect that is high if the blood sugar has not been controlled. So, as you practice,
you'll start to look. You will look at all of these, but I want you to be thinking through and
applying, and what a diabetic has kidney damage, and their glucose has not been well
managed, then I'm going to expect to see some protein in their urine because that means the
kidneys were struggling. I'm going to see glucose in their urine if it's not well controlled, and
I would expect a higher specific gravity because there's extra glucose in their urine. When
their blood sugar is high, the kidney cannot reabsorb all that glucose back into the bloodstream
and it shouldn't, so it ends up going out into the urine. So, you really can learn a lot about a
patient just from a dipstick test. I wanted to make sure to point this out before I wrap up this
video series that not all dipsticks are the same. We walked through 1 example of a dipstick
but there are multiple varieties out there. Dipsticks can have a range of parameters. Now,
that's the official way of saying they can test your urine for lots of different substances. So,
it's very important that you read the product description carefully. You want to make sure
that what you're testing for is on that strip and that you know what each box represents.
03:27
So, let's give some examples of things that we didn't discuss in this video. So urine dipsticks
can be used for things like drug screening. Now that's most often at a place of employment
to make sure the employee is negative for a certain drug but we didn't go over that on our
dipstick because it wasn't included in the parameters we looked at. Microalbumin is another
example. That's another option you may see on a dipstick but I just want to tell you keep in
mind that the urine albumin-creatinine ratio is more sensitive and a more accurate test than
any dipstick. So, always remember not all dipsticks are the same.