00:01
Okay, I know that is a lot
of information.
00:04
So let's just take it
one piece at a time.
00:07
But I wanted to make sure
you saw all up close and big,
so you can get familiar with
what it's going to look like.
00:14
Okay, so let's walk through this
one item at a time.
00:17
If you already know it, good deal,
celebrate what you know.
00:21
If you're new to this,
don't worry,
we'll take you through it
step by step.
00:26
So let's start with that
far left column.
00:29
You'll see that it has numbers
and one particular letter.
00:32
What letter is that?
Right, it's a small s.
00:36
That small s next to the number
just stands for seconds.
00:40
So that number, next to the s,
tells you how long you should wait
before you assess for that
particular item.
00:47
Now let's look at the next column
to the right.
00:50
Okay, now you see words, right?
So that has the name of
what the dipstick is testing.
00:55
So the number tells me
how long I need to wait to read
the item in the very next column.
01:01
Okay, so for example,
which of these listed
do you have to wait
the longest time
before you assess?
Look at the left column,
the seconds,
which one is the longest?
Right, leukocytes on this strip
require you to wait
120 seconds or two minutes.
01:20
Now, what can be read in 30 seconds?
So scan that column.
Look for the number 30 seconds.
01:29
Good. Bili and glucose
can be read at 30 seconds.
01:33
Now don't get too wrapped up
in like you might...
01:35
You don't have to memorize
these times.
01:37
You'll have this information
available to you on the strip.
01:40
You just make a mental note
of which ones you read
first, second, and third,
and you're in great shape.
01:46
Alright, so we've looked at
the timing
the amount of seconds
you need to wait.
01:51
The next column tells us
what we're looking at.
01:53
Now, let's work through each one
of the items on the dipstick.
01:57
Let's take a closer look
at leukocytes.
02:00
Look at the colored boxes
from left to right.
02:04
When you hold a strip up
next to the guide,
you'll need to match the color
as close as you can
to assess the patient's urine.
02:10
Light yellow is on the left
in this one.
02:13
That means the urine is negative
for white blood cells.
02:16
Now, that darkest purple
on the right
we have got a lot
of white blood cells.
02:23
So what clarity would you expect
with this urine?
If I was doing a visual examination
of the urine,
if I have that
dark purple response
means I have a lot of light cells.
02:33
Right. It's going to be
hazy or cloudy.
02:35
Difficult to see through.
02:37
Because this is telling me
I have more white cells
than are appropriate or normal.
02:43
That starts me thinking
that the patient could have a UTI.
02:46
Now, you follow the same process
all the way down the strip
with each substance.
02:51
So like nitrites, urobilinogen,
protein, etc.
02:55
But keep in mind, nitrates are
either negative or positive.
03:00
And the other substances
have numbers
like specific gravity.
03:03
So take a look at that
before we go through.
03:06
Nitrites, right.
03:08
They just say
positive or negative.
03:10
The other substances
like specific gravity
have numbers
assigned to their colors.
03:15
Well and as a tip,
nitrites in your urine,
they should never be there.
03:20
That's why we can go
negative or positive.
03:22
If we're there,
that's another indicator
of a urinary tract infection.